经阴道前路骶棘韧带吊带固定术治疗盆腔器官脱垂的临床效果评价  

Clinical effect of transvaginal anterior sacrospinous ligament suspensions fixation on the treatment of pelvic organ prolapse

作　　者：孙玉菡[1] 雷丽[1] 赵成志 刘明博[1] 卢深涛 刘禄斌[1] Sun Yuhan;Lei Li;Zhao Chengzhi;Liu Mingbo;Lu Shentao;Liu Lubin(Department of Gynecological Pelvic Floor and Oncology,Chongqing Health Center for Women and Children)

机构地区：[1]重庆市妇幼保健院妇科盆底与肿瘤科,重庆400021

出　　处：《重庆医科大学学报》2020年第10期1474-1477,共4页Journal of Chongqing Medical University

基　　金：重庆市科委技术创新与应用示范资助项目(编号:cstc2018jscxmsybX0083)。

摘　　要：目的:探讨经阴道前路骶棘韧带吊带固定术在治疗前盆腔、中盆腔器官脱垂的临床疗效。方法:选择前盆腔、中盆腔脱垂Ⅱ度及以上且有临床症状、手术意愿的患者57例,进行经阴道前路骶棘韧带悬吊术。记录以上患者的年龄、手术时间、出血量、术前及术后的盆腔器官脱垂定量分度(pelvic organ prolapse quantitive examination,POP-Q)评分和盆底功能障碍问卷(pelvic floor distress inventory-short form 20,PFDI-20)评分,并对以上指标进行分析。结果:患者平均手术时间为(57.70±21.42)min,平均出血量为(45.44±40.00)mL,患者术前与术后前壁两点Aa、Ba,顶部点C和PFDI-20评分有统计学差异(P<0.05)。结论:经前路骶棘韧带吊带固定术是一种安全、有效的手术方式,能有效治疗前盆腔、中盆腔器官脱垂患者。Objective:To evaluate the effect of transvaginal bilateral sacrospinous ligament suspensions fixation on treating anterior and middle pelvic organ prolapse. Methods :Fifty-seven patients with pelvic prolapse of degree Ⅱ or above who had clinical symptoms and surgical intention were selected and were underwent transvaginal bilateral sacrospinous ligament suspensions fixation.Patients’ age,operation time,bleeding volume,and pre-and post-operation POP-Q score and PFDI-20 score were recorded and were analyzed. Results:The average operation time was(57.70±21.42)min and the average blood loss was(45.44±40.00)mL. Scores of Aa,Ba,C and PFDI-20 before and after surgery had statistically significant differences(P<0.05). Conclusion:Transvaginal anterior sacrospinous ligament suspensions fixation is a safe and effective method for treating patients with anterior and middle pelvic organ prolapse.

关 键 词：骶棘韧带悬吊术 盆腔器官脱垂 聚乙烯网片 

分 类 号：R713[医药卫生—妇产科学]