摘要
目的 分析腹腔镜下子宫/阴道骶骨固定术治疗盆腔器官脱垂的有效性及安全性。方法 非随机选取2021年7月—2023年11月扬州大学附属靖江人民医院收治的62例盆腔器官脱垂患者,按手术方法分为观察组和对照组,各31例。对照组用经阴道子宫切除联合骶棘韧带悬吊术,同时行阴道前后壁修补术,观察组用腹腔镜下子宫/阴道骶骨固定术。对比两组手术指标、盆底器官脱垂程度、不良反应发生率及复发率。结果观察组术中出血量为(123.19±22.31)mL、手术时间为(57.75±23.13)min,优于对照组的(142.46±32.74)mL、(91.36±11.81)min,差异有统计学意义(t=2.708、7.206,P均<0.05)。观察组盆底器官脱垂程度的改善情况优于对照组,差异有统计学意义(P均<0.05)。观察组不良反应率低于对照组,差异有统计学意义(P<0.05)。两组均无盆腔器官脱垂的复发病例。结论 腹腔镜下子宫/阴道骶骨固定术可改善患者盆腔器官位置,效果较好,不良反应少。
Objective To evaluate the efficacy and safety of laparoscopic uterine/vagino-sacral fixation in the treatment of pelvic organ prolapse.Methods Sixty-two patients with pelvic organ prolapse admitted to Affiliated to Jingjiang People's Hospital Yangzhou University from July 2021 to November 2023 were non-randomly selected and divided into observation group and control group according to the surgical methods,thirty-one cases each.The control group was operated with transvaginal hysterectomy combined with sacrospinous ligament suspension,along with anterior and posterior vaginal wall repair,while the observation group was operated with laparoscopic uterine/vaginal sacral fixation.The surgical indexes,degree of pelvic floor organ prolapse,incidence of adverse reactions and recurrence rate were compared between the two groups.Results Intraoperative bleeding in the observation group was(123.19±22.31) mL and operation time was(57.75±23.13) min,which were better than(142.46±32.74) mL and(91.36±11.81) min in the control group,and the differences were statistically significant(t=2.708,7.206,both P<0.05).The improvement in the degree of pelvic floor organ prolapse in the observation group was better than those in the control group,and the differences were statistically significant(all P<0.05).The rate of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There were no recurrence cases of pelvic organ prolapse in both groups.Conclusion Laparoscopic uterine/vagino-sacral fixation can improve the position of pelvic organs in patients with good efficacy,less adverse reactions.
作者
倪洁
蒋镌
NI Jie;JIANG Juan(Department of Obstetrics and Gynecology,Jingjiang People's Hospital Affiliated to Yangzhou University,Jingjiang 214500,Jiangsu,China)
出处
《系统医学》
2024年第16期129-131,135,共4页
Systems Medicine
