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作 者:鲁予静 刘光新[1] 赵锦丽[1] LU Yujing;LIU Guangxin;ZHAO Jinli(Zhoukou Central Hospital,Henan Province,466000)
机构地区:[1]河南省周口市中心医院,466000
出 处:《中国计划生育学杂志》2021年第5期948-951,共4页Chinese Journal of Family Planning
摘 要:目的:分析经腹腔镜骶韧带悬吊术(LSC)与经阴道骶棘韧带固定术(SSLF)治疗中重度子宫脱垂的临床疗效。方法:选择2017年1月-2020年1月本院就诊的子宫脱垂患者91例,按照随机数字原则分为LSC组45例及SSLF组46例。术后随访6个月,比较两组围手术期指标、POP-Q各点指标数据评分、性生活质量及生活质量。结果:与SSLF组比较,LSC组手术时间长(149.0±48.8min、61.3±29.4min)、术中出血量少(48.3±10.1ml、55.6±15.4 ml)、留置尿管时间短(1.8±0.6d、2.9±0.6d)(P<0.05),术后6个月脱垂复发率(2.2%、4.4%)无差异(P>0.05)。术后6个月,两组POP-Q各点指标数据Aa、Ba、C、Ap、Bp评分、性生活质量(PISQ-12)量表评分,及盆腔功能障碍影响问卷(PFDI-20)、生活质量影响问卷短表(PFIQ-7)评分均优于术前,且LSC组C评分、PISQ-12、PFDI-20、PFIQ-7评分均优于SSLF组(均P<0.05)。结论:LSC及SSLF两种术式治疗中重度子宫脱垂均具有较好疗效,LSC手术时间略长但可更好改善患者术后性生活及生活质量。Objective: To analyze the clinical efficacy of laparoscopic sacroligament suspension(LSC) and transvaginal sacrospinous ligament fixation(SSLF) for treating moderate and severe uterine prolapse. Methods: 91 patients with uterine prolapse from January 2017 to January 2020 were selected as study subjects and were divided into 45 cases experienced LSC in group A and 46 cases experienced SSLF in group B according to the principle of random numbers. Postoperative followed up was conducted for 6 months to compare perioperative indicators, POP-Q data scores, sexual life quality, and life quality of the patients between the two groups. Results: Compared with those of the patients in group B, the patients in group A had longer operation time(149.0±48.8 min vs 61.3±29.4 min), less intraoperative blood loss(48.3±10.1 ml vs 55.6± 15.4 ml), shorter indwelling catheter time(1.8±0.6 d vs 2.9±0.6 d)(P<0.05), and had no difference in prolapse recurrence rate(2.2% vs 4.4%) in 6 months after operation(P>0.05). 6 months after operation, the scores of each point index data of POP-Q, such as Aa, Ba C, Ap, and Bp, and the scores of sexual life quality(PISQ-12) scale, and the scores of pelvic dysfunction questionnaire(PFDI-20), and the scores of the quality of life questionnaire short form(PFIQ-7) of the women were significant better than those of the women before operation, and the scores of A set of C, PISQ-12, PFDI-20, PFIQ-7 of the women in group A were significant better than those of the women in group B(all P<0.05). Conclusion: Both LSC and SSLF for treating moderate and severe uterine prolapse have good efficacy, though LSC needs longer operation time, it can improve the postoperative sexual life quality and life quality.
关 键 词:中重度子宫脱垂 经腹腔镜高位骶韧带悬吊术 经阴道骶棘韧带固定术 临床效果
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