阴道前壁修补术联合腹腔镜下宫颈悬吊术的临床应用  

作　　者：施晓君[1] 金秀凤[1] 陶素萍[1] 黄凤雁[1] 

机构地区：[1]嘉兴学院附属第一医院,314001

出　　处：《浙江临床医学》2019年第12期1639-1641,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省嘉兴市科学技术局公益性研究计划(2018AD32061)。

摘　　要：目的 探讨经阴道前壁修补术联合腹腔镜下宫颈无张力悬吊术治疗压力性尿失禁合并盆腔脏器脱垂的有效性和安全性.方法 25例压力性尿失禁合并盆腔脏器脱垂患者先行经阴道前壁修补术,后联合在腹腔镜下利用无张力阴道吊带进行宫颈悬吊术治疗,分析术中出血量、手术时间、术后并发症、住院天数,随访治疗效果.结果 平均术中出血20 ml,平均手术时间73min,平均术后住院天数6d.25例均获得随访,随访3~33个月,目前未出现复发病例.结论 经阴道前壁修补联合腹腔镜宫颈无张力悬吊术作为一种新型的治疗压力性尿失禁合并盆腔脏器脱垂的手术方法,有效、微创、住院时间短、利于快速康复、复发率低,具有临床应用和推广价值.Objective To investigate the efficacy and safety of anterior vaginal repair combined with laparoscopic cervical tension—free suspension in the treatment of stress urinary and pelvic organ prolapse.Methods Twenty-five patients w让h stress urinary incontinence combined with pelvic organ were treated with anterior transvaginal anterior wall repair and then treated with laparoscopic tension—free vaginal tape(TVT)for cervical suspension.The intraoperative blood loss,operation time,postoperative complications and hospital stay and follow-up of treatment outcomes were evaluated.Results The average intraoperative blood loss was 20 mL,the average operation time was 73minutes,and the average postoperative hospital stay was 6 days.25 cases were foDowed up for 3-33 months,no recurrence occurred.Conclusions Transvaginal anterior wall repair combined with laparoscopic cervical tension—free suspension is a new surgical procedure for treatment of stress urinary incontinence with pelvic organ prolapse.It is effective,minimaDy invasive,short-term hospital stay,and facilitates rapid recovery and low recurrence rate and clinical value.

关 键 词：阴道前壁修补 腹腔镜 宫颈悬吊术 压力性尿失禁 盆腔脏器脱垂 

分 类 号：R71[医药卫生—妇产科学]