腹腔镜下子宫颈无张力阴道吊带悬吊术联合阴道前壁修补术治疗子宫脱垂合并阴道前壁脱垂的效果观察  

Effect of laparoscopic cervical tension-free vaginal tape(TVT)suspension combined with anterior vaginal wall repair in the treatment of uterine prolapse complicated with anterior vaginal wall prolapse

作　　者：袁艳艳 王庆一 陈惠惠 YUAN Yan-yan;WANG Qing-yi;CHEN Hui-hui(Zhuhai Hospital of Traditional Chinese and Western Medicine,Zhuhai 519000,China)

机构地区：[1]珠海市中西医结合医院,广东珠海519000

出　　处：《广东医科大学学报》2021年第4期460-463,共4页Journal of Guangdong Medical University

基　　金：珠海市科技创新局课题项目(No.ZH2202200049HJL)。

摘　　要：目的观察子宫脱垂合并阴道前壁脱垂患者实施腹腔镜下子宫颈无张力阴道吊带(TVT)悬吊术联合阴道前壁修补术治疗的效果。方法选取70例子宫脱垂合并阴道前壁脱垂患者,随机分为两组。观察组37例实施腹腔镜下TVT悬吊术联合阴道前壁修补术治疗;对照组33例实施阴式子宫切除术联合阴道前壁修补术治疗。结果观察组患者的手术时间、术后自主排尿恢复时间及住院时间均短于对照组,术中出血量少于对照组,并发症发生率亦低于对照组(P<0.01或0.05)。术后两组的盆底功能障碍问卷20(PFDI-20)评分均降低,尿失禁性功能量表(PIDQ-12)评分则升高,且观察组变化更显著(P<0.01)。结论腹腔镜下TVT悬吊术联合阴道前壁修补术耗时短,患者术后康复时间短,盆底功能及性功能恢复效果较好。Objective To observe the clinical effect of laparoscopic cervical tension-free vaginal tape(TVT)suspension combined with anterior vaginal wall repair in the treatment of uterine prolapse complicated with anterior vaginal wall prolapse.Methods A total of 70 patients with uterine prolapse complicated with anterior vaginal wall prolapse were randomly divided into two groups.The Observation Group(37 cases)underwent laparoscopic cervical TVT suspension combined with anterior vaginal wall repair while the Control Group(33 cases)underwent vaginal hysterectomy combined with anterior vaginal wall repair.Results Compared with the Control Group,the Observation Group had shorter operation time,postoperative recovery time of spontaneous urination,and hospital stay,less intraoperative blood loss and lower incidence of complications(P<0.01 or 0.05).After the operation,both groups had the PFDI-20 score decreased and the PIDQ-12 score increased,and the Observation Group showed a more significant change(P<0.01).Conclusion Laparoscopic cervical TVT suspension combined with anterior vaginal wall repair takes less time,and the patients can be recovered in shorter time after the operation and achieve a better effect in the recovery of pelvic floor function and sexual function.

关 键 词：子宫脱垂 阴道前壁脱垂 腹腔镜 子宫颈无张力阴道吊带悬吊术 

分 类 号：R713[医药卫生—妇产科学]