腹腔镜下子宫阴道骶骨固定术在治疗保留子宫的盆腔脏器脱垂中的应用  

The application of laparoscopic uterine vaginal sacral fixation in the treatment of pelvic organ prolapse

作　　者：谢虹[1] 赵芳[1] 黄海伟[1] Xie Hong;Zhao Fang;Huang Hai-wei(Zhangjiagang First People Hospital, Zhangjiagang, Jiangsu, 215600, China)

机构地区：[1]张家港市第一人民医院,江苏张家港215600

出　　处：《当代医学》2017年第15期29-31,共3页Contemporary Medicine

摘　　要：目的探讨腹腔镜子宫阴道骶骨固定术治疗盆腔脏器脱垂的可行性、安全性及临床疗效。方法随机选取张家港市第一人民医院妇科收治的40例盆腔脏器中重度脱垂的患者,分为观察组和对照组,每组20例。观察组采用腹腔镜下子宫阴道骶骨固定术治疗;对照组行阴式子宫切除+前盆腔悬吊术治疗。结果 2组手术患者均获成功,采用盆腔器官脱垂定量(POP-Q)分度法,观察组手术前C点D点分别为(+3.0±0.5)cm和(-2.5土0.7)cm,手术后C点D点分别为(-5.5±0.4)cm和(-7.3±0.7)cm,手术时间平均为(120±8)min,平均失血量(55±9)m L。对照组手术前C点D点分别为(+3.5±0.6)cm和(-2.7土0.7)cm,手术后C点D点分别为(-5.5±0.5)cm和(-7.5±0.6)cm,手术时间平均为(146±15)min,平均失血量(87±15)m L;术中、术后均无膀胱、输尿管、直肠损伤、术后均无血肿,血栓等严重并发症。随访1~36个月,观察组、对照组均无一例失败与复发。结论腹腔镜下子宫阴道骶骨固定术是一种治疗要求保留子宫的盆腔脏器脱垂患者的安全、简单、有效的方法,值得临床推广。Objective To explore the feasibility of laparoscopic uterine vaginal sacral fixation for the treatment of pelvic organ prolapse,the safety and clinical efficacy.Methods40cases of pelvic organ prolapse patients were randomly selected,20cases were treated with laparoscopic sacrolcolpopexy treatment,as the observation group;20cases underwent vaginal hysterectomy+anterior pelvic suspension as control group.Results all patients were successful,with pelvic organ prolapse quantitation(POP-Q)indexing method,the observation group before operation C point D point respectively(+3.0±0.5)cm and(-2.5±0.7)cm,after the operation of C point D point respectively(-5.5±0.4)cm and(-7.3±0.7)cm,the average operation time was(120±8)min,the average blood loss(55±9)mL.The control group before the operation C point D point respectively(+3.5±0.6)cm and(-2.7±0.7)cm,after the operation of C point D point respectively(-5.5±0.5)cm and(-7.5±0.6)cm,the mean operation time was(146±15)min,the average blood loss(87±15)mL during the operation,there were no postoperative bladder,ureter,rectum injury,no serious complication.All patients were followed up for1-36months.There was no failure and recurrence in the observation group and the control group.Conclusion Laparoscopic sacrolcolpopexy is a treatment method of the uterus for retention of pelvic organ prolapse patients is safe,simple and effective.Expected clinical promotion.

关 键 词：盆腔脏器脱垂 子宫骶骨悬吊术 阴式子宫切除 前盆腔悬吊术 

分 类 号：R713[医药卫生—妇产科学]