腹腔镜技术在盆底重建手术中的应用  

Laparoscopic surgery for pelvic floor reconstruction

作　　者：张晓薇[1] 王苏[1] 李莉[1] 

机构地区：[1]广州医学院第一附属医院妇产科,广东广州510120

出　　处：《中国实用妇科与产科杂志》2011年第1期21-24,共4页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：腹腔镜下盆底重建手术具有深部的手术野暴露清晰、缝合区域的解剖部位精确、手术成功率高、术后复发率低等优点。但是,腹腔镜下盆底修复过程缝合技术要求高,术者学习曲线较长,手术耗时也较长,且高龄患者是腹腔镜手术的禁忌证。目前,腹腔镜下盆底重建手术疗效的评价尚缺乏长期的、随机对照研究。各种腹腔镜下的手术方式术后的解剖结构的有效性、功能的恢复以及患者生活质量改善情况仍需进一步的评估。Laparoscopic pelvic floor reconstruction surgery is associated with good cure rates and low risk of recurrence. It provides a clear operating exposure, precise anatomic suture site during the procedure. Patients who underwent laparoscopie pelvic floor reconstruction surgery had less blood loss. than with abdominal pelvic floor reconstruction surgery. Nevertheless, it requires more suture skill and longer learning curve of surgeons and more operation times in laparoscopic pelvic floor reconstruction. The senility woman is one of the contraindications for laparoscopic surgery. It＇s lack of long-term and randomized controlled trials to evaluate the outcomes of the surgeries. Moreover, we need further assessments to evaluate the efficacy of anatomic structure, the recovery of function and the changes of quality life.

关 键 词：腹腔镜手术 盆底重建术 压力性尿失禁 盆腔器官脱垂 

分 类 号：R71[医药卫生—妇产科学]