经阴道子宫骶骨韧带高位悬吊术对重度盆腔器官脱垂的临床治疗探究  

Clinical effect of transvaginal high uterosacral ligament suspension on severe pelvic organ prolapse

作　　者：曾敏[1] 谷霞[1] 

机构地区：[1]成都市第一人民医院妇产科,成都610041

出　　处：《中国性科学》2014年第12期12-14,共3页Chinese Journal of Human Sexuality

基　　金：国家中医药管理局中医临床诊疗技术整理与研究项目(国中医药科2001ZL48)

摘　　要：目的:探讨经阴道子宫骶骨韧带高位悬吊术(high uterosacral ligament suspension,HUS)对重度盆腔器官脱垂(pelvic organ prolapse,POP)的临床治疗效果。方法:对我院2010年3月至2012年3月收治的53例重度POP患者采取经阴道HUS治疗,观察其盆腔器官脱垂定量系统(POP-Q)分期变化及生活质量评分变化。结果:患者平均手术时间(125.7±39.5)min,术中出血量(122.9±13.0)m L,住院时间(5.9±1.2)d,治疗费用(9733.7±1107.9)元,未见术中输尿管损伤,未见术后感染、神经损伤等并发症,恢复良好;53例患者均获得有效随访,平均随访时间(11.7±0.8)个月,有效52例,无效1例,未见复发,有效率98.1%;患者末次随访POP-Q分期较术前显著降低;末次随访患者生活质量较术前显著改善(P<0.05),无自诉性交困难。结论:经阴道HUS对重度POP的治疗具有安全、可靠、恢复快等多种优势,可促进患者的早期恢复,改善其生活质量,是重度POP治疗的较佳方式,建议临床推广。Objectives：To investigate the clinical treatment effect of transvaginal high uterosacral ligament suspension （HUS）on severe pelvic organ prolapsed （POP）.Methods：The 53 severe POP patients in our hospital from March 2010 to March 2012 received transvaginal HUS treatment.Stage changes in the pelvic organ prolapse quantification system （POP-Q）and quality of life was recorded.Results：The average operation time,amount of bleeding,hospitalization time and cost of treatment was （125.7 ±39.5）min,（122.9 ±13）mL,（5.9 ±1.2）d and （9733.7 ±1107.9）Yuan respectively,without ureteral injury,postoperative infection,nerve injury and other complications.All the 53 patients were effectively followed up,with mean follow -up time of （1 1 .7 ±0.8 ） months.There were 52 cases effective,1 cases ineffective,no recurrence,an efficiency of 98.1%;the POP-Q stage of the last follow-up had significantly decreased compared with before,while quality of life was significantly improved （P〈0.05 ）,no dyspareunia.Conclusion：Transvaginal HUS therapy is safe and reliable and of various other advantages in the treatment of severe POP,which is conducive to the early recovery of patients and can im-prove their quality of life,hereby worthy of clinical application.

关 键 词：经阴道 子宫骶骨韧带高位悬吊术 重度盆腔器官脱垂 临床治疗 

分 类 号：R167[医药卫生—公共卫生与预防医学]