阴式骶棘韧带固定术治疗子宫脱垂的效果观察  

Observation on effect of transvaginal sacrospinous ligament fixation in the treatment of uterine prolapse

作　　者：曲思娆[1] 李芳[1] 赵曼曼[1] 

机构地区：[1]辽宁省沈阳市第四人民医院,110031

出　　处：《中国现代药物应用》2017年第1期75-77,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察阴式骶棘韧带固定术治疗子宫脱垂患者的效果。方法 60例子宫脱垂Ⅲ~Ⅳ度的患者,随机分为实验组和对照组,每组30例。实验组行阴式子宫切除+骶棘韧带固定+阴道壁修补术,对照组行阴式子宫切除+阴道壁修补术。对比两组的术中出血量、手术时间、术后排气时间、住院天数,随访记录对比术后1年的性生活满意度,脱垂复发率,腹部下坠感的发生率。结果实验组手术时间长于对照组,差异有统计学意义(P<0.05)。两组患者的术中出血量、术后排气时间、住院天数比较差异均无统计学意义(P>0.05)。实验组术后1年性生活满意度90.0%高于对照组66.7%,脱垂复发率3.3%、腹部下坠感发生率0低于对照组23.3%、23.3%,差异均有统计学意义(P<0.05)。结论阴式骶棘韧带固定术治疗子宫脱垂术后性生活满意度高,脱垂复发率和腹部下坠感发生率低,是巩固子宫脱垂治疗效果的有效方法 ,临床值得推广。Objective To observe the effect of transvaginal sacrospinous ligament fixation in the treatment of uterine prolapse. Methods A total of 60 patients in Ⅲ-Ⅳ degree of uterine prolapse were randomly divided into experimental group and control group, with 30 cases in each group. The experimental group received transvaginal hysterectomy ＋ sacrospinous ligament fixation ＋ repair of vaginal wall, and the control group received transvaginal hysterectomy ＋surgical repair of vaginal wall. Comparison were made on intraoperative bleeding volume, operation time, postoperative evacuation time, hospitalization time and sex life satisfaction in 1 year after operation, recurrence rate of prolapse and abdominal bearing down rate. Results The experimental group had longer operation time than the control group, and the difference had statistical significance（P〈0.05）. There were no statistically significant difference in intraoperative bleeding volume, postoperative evacuation time, hospitalization time（P〉0.05）. The experimental group had higher sex life satisfaction in 1 year after operation as 90.0% than 66.7% in the control group, recurrence rate of prolapse as 3.3%, and abdominal bearing down rate as 0 than 23.3% and 23.3% in the control group, and differences had statistical significance（P〈0.05）. Conclusion Transvaginal sacrospinous ligament fixation provides high sex life satisfaction and low recurrence rate of prolapse and abdominal bearing down rate in the treatment of uterine prolapse. This is an effective method of strengthening curative effect of uterine prolapse and worth clinical promotion.

关 键 词：子宫脱垂 骶棘韧带固定 阴式手术 

分 类 号：R713.4[医药卫生—妇产科学]