腹腔镜下宫颈或阴道残端腹壁网片悬吊术的临床探讨  

Clinical study of cervical or vaginal stump ventrosuspension under laparoscope

作　　者：马新[1] 邵洋 高瑜[1] 陈丽娟[1] Ma Xin;Shao Yang;Gao Yu;Chen Li-juan(Department of Gynaecology and Obstetrics, Zhangjiagang First People's Hospital, Zhangjiagang, Jiangsu, 215600, China)

机构地区：[1]张家港市第一人民医院妇产科/苏州大学附属张家港医院,江苏张家港215600

出　　处：《当代医学》2017年第26期7-9,共3页Contemporary Medicine

摘　　要：目的探析腹腔镜下宫颈或阴道残端腹壁悬吊术的临床效果。方法选取34例不同程度的子宫及阴道壁脱垂患者,对其临床资料进行回顾性分析,并将其随机分为治疗组和对照组,各17例,治疗组采取腹腔镜下宫颈腹壁悬吊术或腹腔镜下全子宫切除并阴道残端腹壁悬吊术,对照组采取阴式子宫切除及前盆腔重建术,对比两组手术情况及术后患者情况。结果治疗组患者的手术时间、术中出血量、术后拔除尿管时间分别为(119.1±35.8)min、(39±20.7)m L、(47.5±1.8)h,对照组患者的手术时间、术中出血量、术后拔除尿管时间分别为(96.4±19.3)min、(63.4±36.8)m L、(120.2±2.8)h,两组比较差异具有统计学意义(P<0.05);治疗组患者的局部不适发生率、拔除尿管后尿频和术后并发症几率分别为11.8%、5.3%、0%,对照组患者的局部不适发生率、拔除尿管后尿频和术后并发症几率分别为23.6%、17.6%、5.3%,均较治疗组高。结论腹腔镜下宫颈或阴道残端腹壁悬吊术对周围脏器影响更小,临床效果更好,并发症更少,尤其对于年轻、对术后性生活要求较高及合并卵巢囊肿等需术中同时处理者等更为适宜。Objective To explore the clinical effect of laparoscopic cervical ventrosuspension or laparoscopic hysterectomy and vaginal ventrosuspension.Methods A retrospective analysis was done on the clinical data of34patients with prolapse of uterus and vagina admitted to this hospital.They were divided randomLy into treatment group and control group with17in each one.The treatment group adopts laparoscopic cervical ventrosuspensionor laparoscopic hysterectomy and vaginal ventrosuspension,while the control group was treated with vaginal hysterectomy and pelvicreconstruction.The indicators of the operation and postoperative conditions were compared between the two groups.Results The time of operation,the amount of bleeding during operation and the time of catheter removal in treatment group were(119.1±35.8)min,(39±20.7)mL,(47.5±1.8)h.Thetime of operation,the amount of bleeding during operation and the time of catheter removal in control group were(96.4±19.3)min,(63.4±36.8)mL,(120.2±2.8)h.The difference between the two groups was statistically significant(P<0.05).The rates of local discomfort,the frequency of urinationand postoperative complications in treatment group were11.8%,5.3%,0%.The rates of local discomfort,the frequency of urination and postoperativecomplications in control group were23.6%,17.6%,5.3%,and it was higher than the treatment group.Conclusion Laparoscopic cervical ventrosuspensionor laparoscopic hysterectomy and vaginal ventrosuspension has less influence on surrounding organs,better clinical effect and less complications,and it is especially suitable for the patients who are young,with high requirement of life after surgery and combined with ovarian cyst thatneed to be dealed with in the surgery.

关 键 词：腹腔镜 腹壁悬吊术 临床效果 

分 类 号：R713[医药卫生—妇产科学]