传统阴式子宫切除术与骶棘韧带悬吊术治疗中、重度盆腔器官脱垂的临床效果比较  

Comparation clinical application of conventional vaginal hysterectomy and sacrospinous ligament fixation in the treatm ent of moderate and severe pelvic organ prolapse

作　　者：周秀芬[1] 吴荣[1] 任俊[1] 张雅丽[2] 

机构地区：[1]六安市人民医院妇产科,安徽六安237005 [2]承德医学院附属医院妇科,河北承德067000

出　　处：《中国医学前沿杂志（电子版）》2017年第5期83-86,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：河北省科技支撑计划项目(20122136)

摘　　要：目的比较阴式子宫切除术与骶棘韧带悬吊术治疗中、重度盆腔器官脱垂的临床效果,为中、重度盆腔器官脱垂的临床治疗提供参考依据。方法选择2011年1月至2014年12月六安市人民医院妇产科收治的110例经盆腔器官脱垂定量分度法评定为Ⅱ~Ⅳ期中、重度盆腔器官脱垂患者为研究对象,分别采用骶棘韧带悬吊术(观察组,55例)和传统阴式子宫切除术(对照组,55例)治疗,观察并比较两组患者的手术时间、术中出血量、术后住院天数、总住院费用、术后并发症发生情况、术前和术后2年生活质量、复发率及满意率。结果观察组患者手术时间、术中出血量、术后住院天数、总住院费用、术后并发症发生率均显著少于对照组(P<0.05);观察组患者术后2年盆底功能障碍问卷简表-20评分和复发率均显著低于对照组(P<0.05);观察组患者术后满意率显著高于对照组(P<0.05)。结论相对于传统阴式子宫切除术,骶棘韧带悬吊术治疗中、重度盆腔器官脱垂所需手术时间较短,术中出血量较少,临床效果较好,复发率较低,值得临床推广应用。Objective To discuss the clinical application value of conventional vaginal hysterectomy and sacrospinous ligament fixation （SSLF） in the treatment of moderate and severe pelvic organ prolapse, to provide reference for the clinical treatment of moderate and severe pelvic organ prolepses. Method 110 cases moderate and severe pelvic organ prolepses patients with Ⅱ~Ⅳ level in Lu＆#39;an people＆#39;s hospital from January 2011 to December 2014 were divided into control group （treated with conventional vaginal hysterectomy） and observation group （treated with SSLF）, there were 55 patients in each group. The time of operation, amount of bleeding during operation, postoperative hospital days, total hospitalization expenses, postoperative compcication, the postoperative quality of life, the recurrence rate and satisfaction rate preoperative and 2 years after operation between the two groups were compared. Result The time of operation, amount of bleeding during operation, postoperative hospital days, total hospitalization expenses and postoperative complication rate of patients in observation group were significantly less than control group （P 〈 0.05）; pelvic floor distress inventory-short form 20 and the recurrence rate were significantly lower than control group （P 〈 0.05）. The satisfaction rate of observation group was higher than control group （P 〈 0.05）. Conclusion The clinical effect of SSLF is better, and the operation time is shorter, the amount of bleeding during operation is less, the recurrence rate is lower when compared with conventional vaginal hysterectomy operation, so SSLF is worthy of clinical application.

关 键 词：传统阴式子宫切除术 骶棘韧带悬吊术 盆腔器官脱垂 生活质量 

分 类 号：R713[医药卫生—妇产科学]