经脐单孔腹腔镜下子宫“Y”网骶骨固定术一例  

A Case Report of Uterus Sacrum Fixation with Y Shape Mesh in Transumbilical Single Port Laparoscopic

作　　者：王冬亮[1] 李青[1] 胡滨[1] 邓克红[1] 黄冬梅[1] WANG Dong-liang;LI Qing;HU Bin;DENG Ke-hong;HUANG Dong-mei(Department of Obstetrics and Gynecology,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 451000,China)

机构地区：[1]郑州大学第二附属医院妇产科,451000

出　　处：《国际妇产科学杂志》2021年第2期235-237,F0003,共4页Journal of International Obstetrics and Gynecology

摘　　要：报告1例经脐单孔腹腔镜下子宫“Y”网骶骨固定术的病例。静脉全身麻醉完成后,取膀胱截石位,消毒铺巾,手术由经阴道宫颈部分截除术和经脐单孔腹腔镜下子宫骶骨固定术两部分完成,手术时间300 min,出血50 mL。患者术中、术后无并发症,术后随访1年达到主观治愈,盆底功能障碍问卷简表20(pelvic floor distress inventory short form 20,PFDI-20)总评分:术前0.79,术后6个月0.17,术后1年0.17。单孔腹腔镜下子宫“Y”网骶骨固定术手术可行性高,创伤更小,疼痛更轻,并发症更少,美容效果显著,安全性较为理想,较传统腹腔镜或开腹手术具有强大的优势,同时保留了子宫,降低了网片暴露的风险,为患者提供了一种新的治疗方式,为相关的研究和发展奠定科学基础。This paper reports a case of"Y"reticulosacral fixation of uterus by transumbilical single hole laparoscopy.After the completion of intravenous general anesthesia,the cystolithotomy position was taken and the sterile paving towel was laid.The operation was completed by transvaginal cervical partial amputation and transumbilical single-hole laparoscopic hysterosacral fixation,with the operation time of 300 min and bleeding of 50 mL.The patients had no intraoperative complications,and the postoperative follow-up time was 1 year.Subjective healing was achieved.The total score of pelvic floor distress inventory short form 20 was 0.79 before surgery,0.176 months after surgery,and 0.171 year after surgery.Single-arch laparoscopic uterine"Y"net sacral fixation surgery feasibility is high,less trauma,pain is lighter,and security is more ideal.It is compared traditional laparoscopy or laparotomy with a strong advantage,not only retaining the uterus at the same time,but also reducing the risk of exposure to mesh,providing a new way of treatment for patients and the scientific basis for the related research and development.

关 键 词：腹腔镜检查 盆腔器官脱垂 子宫脱垂 单孔腹腔镜术 网片 盆底重建术 子宫骶骨固定术 

分 类 号：R713[医药卫生—妇产科学]