两种术式治疗阴道穹窿脱垂的临床分析  

Clinical Analysis on Treatment of VaultProlapse with Two Kinds of Operation

作　　者：热孜婉古丽.吾布力 玛依努尔.尼牙孜 

机构地区：[1]新疆维吾尔自治区人民医院妇科,新疆乌鲁木齐830001

出　　处：《新疆医学》2014年第10期16-19,共4页Xinjiang Medical Journal

摘　　要：目的：比较经腹阴道骶前固定术与经腹腔镜阴道骶骨固定术治疗阴道穹窿脱垂围手术期情况和术后并发症、为提高手术的安全性和疗效提供依据.方法：选择对象为2010年2月～2012年6月由新疆维吾尔自治区人民医院妇科收治的,经POP-Q分度为Ⅲ/Ⅳ度的阴式全子宫切除术后阴道穹窿脱垂行手术治疗的中老年女性患者24例,行经腹阴道骶前固定术13例（ASCP组）,经腹腔镜阴道骶前固定术11例（LSCP组）.术后6周、6个月及1年对两组患者随访.从而评价两组患者的围手术期情况及术后并发症发生情况.结果：两组患者均顺利完成手术,LSCP组术出血量少于ASCP组,平均住院天数比ASCP组短,两组比较有统计学意义,平均手术时间无统计学意义,两组术中并发症及术后晚期并发症发生情况差异无统计学意义（＞0.05）.两组术后早期并发症差异有统计学意义（＜0.05）.结论：LSCP组术中出血少,术后住院时间短,术后发生切口感染,尿路感染,肠梗阻等并发症较ASCP组少见,手术时间,术中并发症及术后早期并发症发生率相当,腹腔镜下骶骨阴道固定术治疗阴道穹窿脱垂创伤小,恢复快,并发症少,是一种安全有效的治疗方法.Objective：To compare the efficacy and complications of abdominal sacrocolpopexy and laparoscopic sacrocolpopexy for the treatment of vault prolapse. Methods： Twenty four patients with vault prolapse were selected in Department of Gynecology, Xinjiang Uygur Autonomous Region People＇s Hospital from February 2010 to June 2012. Abdominal sacrocolpopexy and Laparoscopie saerocolpopexy were performed in 13 and 11 patients respectively. The efficacy and complications was compared. Results：The patients were followed up for6 to 24 months after surgery. In the Laparoscopic sacrocolpopexy group the average operaion time ,The blood loss were significantly less compared to the abdominal group （〈0.05）. In the Laparoscopie sacrocolpopexy group the eary postoperative complications rate lower than abdominal group （〈0.05）.LSCP can be successfully completed in patients with vault prolapse with less injury and shorten recovery time.It is a safe and effective method for patients with vault prolapse.

关 键 词：阴道骶骨固定术 阴道穹窿脱垂 

分 类 号：R713.42[医药卫生—妇产科学]