骶棘韧带悬吊术治疗老年盆腔脏器脱垂性疾病的临床价值  

Clinical value of sacrospinous ligament fixation in treatment of old-aged women with pelvic organ prolapse

作　　者：王渠源[1] 邵艳萍[1] 许宗兰[1] 冯珊珊[1] 

机构地区：[1]吉林大学第二医院妇产科,吉林长春130041

出　　处：《中国妇幼保健》2012年第2期298-299,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨骶棘韧带悬吊术治疗中老年盆腔脏器脱垂性疾病的临床疗效。方法:选择2008年9月～2010年10月在吉林大学第二医院收治的有手术指征的盆腔脏器脱垂患者27例作为研究对象,平均病程4.3年,27例均行骶棘韧带悬吊术,于手术后2个月及术后6个月～1年内随诊2次,同时行阴道盆腔检查,客观评估手术后效果,记录术后POP～Q评分,并与术前进行比较。结果:27例患者中,23例获得完整数据,术前与术后比较客观疗效明显,POP～Q评分具有统计学差异(P<0.01);不良反应发生率低,且对症治疗后均可以缓解。结论:骶棘韧带悬吊术具有手术损伤小、经济简单、手术效果确切、术后恢复快、并发症少等优点,是一种较为理想的治疗中老年盆腔脏器脱垂性疾病的方法。Objective： To explore the clinical curative effect of sacrospinous ligament fixation （SSLF） in treatment of middle and old -aged women with pelvic organ prolapse （POP） . Methods： A total of 27 patients with surgical indications of POP were selected from the hospital from September 2008 to October 2010 as study objects, the average duration time of the disease was 4. 3 years. All the patients underwent SSLF and they were followed up twice （at two months and within six months - one year after surgery, respectively）, at the same time, transvaginal pelvic examination was carried out, the postoperative effect was evaluated objectively, postoperative POP - Q value was re- corded and compared with preoperative POP - Q value. Results ： Among 27 patients, 23 patients were found with complete data. The postoperative curative effect was obvious, there was significant difference in POP - Q value before and after operation （P 〈 O. 01 ） ; the incidence of adverse reactions was low, and the adverse reactions were relieved after symptomatic treatment. Conclusion： SSLF has the advantages of slight damage, low expense, easy to operate, effectiveness, rapid recovery after operation, and less postoperative complications, which is an ideal method for treatment of old - aged women with POP.

关 键 词：骶棘韧带悬吊术 中老年盆腔脏器脱垂 临床疗效 

分 类 号：R711.2[医药卫生—妇产科学]