腹腔镜下阴道整体支持结构原位重建术治疗全盆腔器官脱垂的疗效  

Laparoscopic in situ reconstruction of vaginal integral support structure in the treatment of total pelvic organ prolapse

作　　者：邓慧萍[1] 宗美琦 刘宇航 陈静 彭闲雅 钱磊 贺海霞[1] Deng Huiping;Zong Meiqi;Liu Yuhang;Chen Jing;Peng Xianya;Qian Lei;He Haixia(Department of gynaecology,Shimen people’s Hospital,Hunan Province,Changde 415300,China)

机构地区：[1]湖南省石门县人民医院妇科,湖南常德415300

出　　处：《实用妇科内分泌电子杂志》2021年第19期11-13,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 在实际针对全盆腔器官脱垂患者进行治疗的过程中,探讨腹腔镜下阴道整体支持结构原位重建术治疗的具体价值。方法 选择2016年1月至2021年6月接受腹腔镜下阴道整体支持结构原位重建术治疗的全盆腔器官脱垂患者338例为研究组研究对象,另外26例患者接受了传统手术的方式进行治疗,将这部分患者作为对照组研究对象,治疗内容包括经阴道切除脱垂的全子宫或宫颈加阴道前后壁修补术,对患者接受治疗后日常生活质量、性生活质量、尿失禁问题以及排尿情况改善情况进行评价,统计患者疾病复发率。结果 研究组患者在接受治疗之后,日常生活质量、性生活质量、尿失禁问题、排尿情况评分均优于优于对照组,比较差异具有统计学意义(P<0.05)。研究组患者复发率(0.01%)低于对照组(26.93%),比较差异具有统计学意义(P<0.05)。结论 在实际针对全盆腔器官脱垂患者进行治疗的过程中,通过采用腹腔镜下阴道整体支持结构原位重建治疗的方式,不仅能够有效提高患者的生活质量、性生活质量,还能够有效缓解患者的排尿问题以及尿失禁问题。Objective To explore the specific value of laparoscopic in situ reconstruction of vaginal integral support structure in the treatment of total pelvic organ prolapse. Methods A total of 338 patients with total pelvic organ prolapse treated with laparoscopic in situ reconstruction of the overall vaginal support structure from January 2016 to June 2021 were selected as the study group, and another 26 patients were treated by conventional surgery, and this group of patients was used as the control study group,and the treatment included transvaginal excision of the prolapsed total uterus or cervical plus anterior and posterior vaginal wall repair, and the The quality of daily life, quality of sexual life, incontinence problems and improvement in urination were evaluated after the patients received treatment, and the recurrence rate of the disease was counted. Results After treatment, the quality of daily life, quality of sexual life, incontinence problems, and urination scores of patients in the study group were better than those of the control group, and the difference was statistically significant(P<0.05). The recurrence rate of patients in the study group(0.01%)was lower than that of the control group(26.93%), and the difference was statistically significant(P<0.05). Conclusion In the actual treatment of patients with total pelvic organ prolapse, the laparoscopic in situ reconstruction of the vaginal integral support structure can not only effectively improve the quality of life and sex life of patients, but also effectively relieve the urinary problems and incontinence of patients.

关 键 词：腹腔镜下 原位重建术 全盆腔器官脱垂 治疗疗效 

分 类 号：R713[医药卫生—妇产科学]