吊带法双侧骶棘韧带固定术治疗盆腔器官脱垂的临床研究  

Clinical research of bilateral sacrospinous ligament fixation by Pavlik harness method in treating the pelvic organ prolapse

作　　者：耿爱芝[1] 武传中[1] 刘淑会[1] 

机构地区：[1]山东省聊城市第二人民医院妇科,山东临清252601

出　　处：《中国医师进修杂志》2011年第3期14-16,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨吊带法双侧骶棘韧带固定术在治疗盆腔器官脱垂（POP）中的效果.方法 将60例POP患者按随机数字表法分为吊带法双侧骶棘韧带固定术组（研究组,30例）、经阴道后路悬吊带术组（P-IVS组,15例）、骶棘韧带固定术组（SSLF组,15例）.比较三组手术情况、疗效及随访情况.结果 研究组手术时间[（30.5±5.3）min]较SSLF组[（43.5±10.6）min]缩短（P＜0.05）,术后下床时间[（1.5±0.6）d]明显早于SSLF组[（3.1±0.7）d]和P-IVS组[（3.3±0.8）d]（P＜0.05）.三组患者出院时POP-Q分类法均为0度或Ⅰ度,达到治愈标准.随访3～16个月,研究组复发率和性生活质量下降率[0和3.3%（1/30）]均明显低于P-IVS组[20.0%（3/15）和13.3%（2/15）]和SSLF组[6.7%（1/15）和26.7%（4/15）]（P＜0.05）.结论 吊带法双侧骶棘韧带固定术是一种操作简单、坚固性强、术后阴道位置没有轴性改变,更符合解剖结构的术式,在治疗POP中有很高的实用价值,值得在临床中推广.Objective To investigate the effect of bilateral sacrospinous ligament fixation by Pavlik harness method in the treatment of pelvic organ prolapse （POP）. Methods Sixty patients with POP received operation were divided into bilateral sacrospinous ligament fixation by Pavlik harness method group （study group,30 cases）,posterior intravaginal sling plasty group （P-IVS group, 15 cases） and sacrospinous ligament fixation group （SSLF group, 15 cases） by random digits table. The data of the three groups, such as operation time, bleeding during the operation, indwelling urinary catheter time, duration out of bed after operation, cure rate, recurrence rate and the quality of sexual life were observed. Results The operation time in study group [（ 30.5 ± 5.3 ） min] was significantly shorter than that in SSLF group [（43.5 ± 10.6） min]（P 〈 0.05 ）, and the duration out of bed in study group [（ 1.5 ± 0.6） d] was earlier than that in SSLF group [（3.1 ±0.7） d] and P-IVS group [（3.3 ±0.8） d]（P〈0.05）. The POP-Q stage of all the patients being hospital was 0 or Ⅰ , approached the cure standard. Patients were followed up for 3-16 months after operation, the recurrence rate and the decrease of the quality of sexual life in study group [0,3.3%（1/30）]were lower than those in P-IVS group [20.0%（3/15）,13.3%（2/15）] and SSLF group[6.7%（1/15）,26.7%（4/15）] （P 〈 0.05）. Conclusion Bilateral sacrospinous ligament fixation by Pavlik harness method is a simple, firm operation, and the position of vagina does not axialitily change and suits the anatomy, so it is effective and worth spreading clinically to treat the POP.

关 键 词：脱垂 吊带 双侧骶棘韧带固定术 

分 类 号：R713[医药卫生—妇产科学]