摘要
目的探究重度子宫脱垂治疗应用子宫骶骨韧带高位悬吊术的临床价值。方法回顾性分析2013年6月至2015年6月我院收治的78例重度子宫脱垂患者的临床资料,分析其行经阴道子宫骶骨韧带高位悬吊术治疗的临床价值。结果 78例重度子宫脱垂患者均于术中确定宫骶韧带,成功对阴道穹窿进行缝合悬吊,并重建阴道筋膜。平均手术时间+膀胱镜检查时间为(46.9±2.5)min,平均临床盆腔检查C点值为(-7.2±1.4)cm,患者术后均未伤及输尿管、肠管等周围组织,愈合效果良好;术后随访3~48个月,随访2~8次,所有患者C点值均未超过POP-QⅠ度,手术近期成功率为100%。结论子宫骶骨韧带高位悬吊术可准确确定宫骶韧带,利于进针缝合悬吊,对重建阴道筋膜有重要的临床价值,可最大限度地保留并恢复盆底结构及功能,且术后并发症少,复发率低,值得临床应用和推广。
Objective To explore the clinical value of the high uterosacral ligament suspension in treating severe uterine prolapse. Methods Retrospectively analyze the clinical value of the high uterosacral ligament suspension in the treatment of196 patients with severe uterine prolapse during June 2013 to June 2015 in our hospital. Results All 78 severe uterine prolapse patients were determined uterosacral ligament intraoperatively, suspension sutured on vaginal fornix and reconstructed the vagina fascia successfully. The average operation time plus cystoscope examination time was(46.9 ±2.5)min, the mean C values of clinical pelvic examination was(-7.2±1.4) cm. There were no postoperative damage surrounding the ureter, bowel, and the healing effect was good. All the patients were followed up for 2~8 times in 3~48 months, and the C values of all the patients were not over the POP-Q I, the recent operation success rate was 100%. Conclusion High uterosacral ligament suspension can accurately determine the uterosacral ligament, conducive to the suture suspension, and it has important clinical value in the reconstruction of vagina fascia, and can retain and recover the pelvic floor function with less postoperative complications and low recurrence rate, which is worthy of clinical application and promotion.
出处
《临床医学研究与实践》
2016年第18期54-55,共2页
Clinical Research and Practice
关键词
子宫脱垂
子宫骶骨韧带高位悬吊术
宫骶韧带
uterine prolapse
high uterosacral ligament suspension
uterosacral igament
