摘要
目的:探讨腹腔镜下高位骶韧带悬吊术(HUS)与腹腔镜下髂耻韧带悬吊术(LP)治疗育龄期子宫脱垂患者围手术期指标、术后生活质量以及并发症情况。方法:选取2022年1-12月入本院治疗的育龄期子宫脱垂患者103例,按手术方式分为LP组46例与HUS组57例,比较两组围术期指标、并发症、盆腔器官脱垂定量(POP-Q)以及生活质量。结果:手术时间、住院时间两组无差异(P>0.05),HUS组术中出血量(46.46±6.91ml)、留置尿管时间(2.51±0.58d)、肛门排气时间(24.15±3.06h)均高于LP组(40.38±5.16ml、2.21±0.42d、22.16±3.14h),术后两组POP-Q指示点(Aa、Ba、Ap、Bp、C)位置均回到正常范围,两组术后盆底疾病生活质量影响问卷短表-7(PFIQ-7)、性生活质量问卷(PISQ-12)评分均较术前降低,HUS组术后PISQ-12评分(9.12±1.84分)低于LP组(9.97±1.67分)(均P<0.05)。HUS组性交困难发生率(0)低于LP组(10.9%)(P<0.05),并发症总发生率HUS组(7.0%)与LP组(13.0%)无差异(P>0.05)。结论:LP术后恢复指标优于HUS,但在生活质量方面HUS更能提高术后患者生活质量。
Objective:To explore the perioperative indicators,the postoperative quality of life and the complications of the laparoscopic high sacral ligament suspension surgery(HUS)and the laparoscopic iliac pubic ligament suspension surgery(LP)for treating patients with uterine prolapse in childbearing age.Methods:103 patients with uterine prolapse in childbearing age who were admitted for treatment were selected as the study subjects from January 2022 to December 2022.These patients were divided into group A(46 cases with the treatment of LP)and group B(57 cases with the treatment of HUS)according to the different surgical treatment methods.The perioperative indicators,the complications rate,and the scores of the pelvic organ prolapse quantification(POP-Q)and quality of life of the patients were compared between two groups.Results:There was no significant differences in the operation time and the hospitalization stay of the patients between the two groups(P>0.05).The intraoperative blood loss(46.46±6.91ml),the indwelling catheter time(2.51±0.58d)and the anal exhaust time(24.15±3.06h)of the patients in group B were significantly higher than those(40.38±5.16ml,2.21±0.42d and 22.16±3.14h)of the patients in group A,After operation,the rate of the position of POP-Q index points(Aa,Ba,Ap,Bp,C)returned to the normal range,the scores of pelvic floor impact questionnaire short form 7(PFIQ-7)and the sexual life of quality questionnaire 12(PISQ-12)of the patients in the two groups had decreased significantly.The postoperative PISQ-12 score(9.12±1.84 points)of the patients in group B was significantly lower than that(9.97±1.67 points)of the patients in group A(all P<0.05).The incidence of dyspurunia(0)of the patients in group B was significantly lower than that(10.9%)of the patients in group A(P<0.05),but the total incidence of complications(7.0%)of the patients in group B had no significant different from that(13.0%)of the patients in group A(P>0.05).Conclusion:The postoperative indicators of the patients with the treatment
作者
周艳菲
薛晓丹
阎慧娟
ZHOU Yanfei;XUE Xiaodan;YAN Huijuan(Sanmenria Hospital,Sanmenria,Hubei Province,472001)
出处
《中国计划生育学杂志》
2024年第12期2777-2781,共5页
Chinese Journal of Family Planning
关键词
子宫脱垂
育龄妇女
腹腔镜下高位骶韧带悬吊术
腹腔镜下髂耻韧带悬吊术
术后恢复
生活质量
Uterine prolapse
Childbearing age
Laparoscopic high sacral ligament suspension surgery
Laparoscopic iliopubic ligament suspension surgery
Postoperative recovery
Quality of life
