阴道后路悬吊带术的安全性及疗效评价  

Safety and Efficacy of Posterior Intravaginal Slingplasty for Prolapse

作　　者：史宏晖[1] 朱兰[1] 郎景和[1] 郭春艳[1] 张庆霞[1] 顾宇[1] 陈娟[1] 海宁[1] 

机构地区：[1]中国医学科学院北京协和医院,北京100730

出　　处：《实用妇产科杂志》2008年第5期287-289,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:评价阴道后路悬吊带术的安全性及疗效。方法:对76例实施阴道后路悬吊带术及39例随诊1年以上患者的临床资料进行回顾性分析,进行盆底功能障碍问卷、盆腔器官脱垂及尿失禁性功能问卷调查。结果:平均手术时间68.5分钟,平均出血量90.4ml,有效率92.3%(36/39)。吊带侵蚀发生率20.5%(8/39),尿路症状发生率19.4%(6/31),术中、术后无严重并发症发生。收回盆底功能障碍问卷31份,手术前后评分分别为49.29±29.26及13.5±14.9,P<0.05,差异有显著性。收回盆腔器官脱垂及尿失禁性功能问卷11份,手术前后评分分别为14.8±6.58及14.9±6.89,P>0.05,差异无显著性。结论:阴道后路悬吊带术是治疗子宫脱垂、后壁膨出及子宫切除术后穹隆膨出的一种安全有效的微创方法,术后患者盆底功能显著增强,排便、排尿症状明显好转,未对性生活造成不良影响。吊带侵蚀发生率高是其存在的问题。Objective：To discuss the safety and efficacy of posterior intravaginal slingplasty for prolapse.Methods： Clinical infom^tion of 76 posterior intravaginal slingplasties was retrospectively studied and 39 of them were followed up for more than one year. Pelvic floor distress inventory and pelvic organ prolapse/ urinary incontinence sexual function questionnaire survey was implemented. Results：The medium time and blood loss of the operation was 68.5 minutes and 90.4ml respectively with the effective rate being 92.3%. Erosion and urinary tract symptoms occurred in 20.5% and 19.4% of the patients with no severe complications during and after the course. A total of 31 prolapse quality of life questionnaires showed that there was statistical significant difference before and after the procedure while the 11 sexual function questionnaires didn＇t. Conclusions： Posterior intravaginal slingplasty was a minimally invasive procedure for uterus prolapse, posterior vaginal prolapse and posthysterectomy fomix prolapse. Pelvic floor function, defecating and mictumting symptoms improved with no adverse effect on sexual activity. The relatively high erosion rate still needs to be solved.

关 键 词：阴道后路悬吊带术 子宫脱垂 穹隆膨出 侵蚀 

分 类 号：R711.2[医药卫生—妇产科学]