经阴道骶棘韧带固定手术与阴式子宫切除手术对中重度盆腔脏器脱垂患者术后生活质量、复发率的影响比较  

Effect of transvaginal sacrospinalis ligament fixation surgery versus vaginal hysterectomy on postoperative quality of life and recurrence rate in patients with moderate to severe pelvic organ prolapse

作　　者：裴艳[1] 胡春芹 王爱红 Pei Yan;Hu Chunqin;Wang Aihong(Department of Obstetrics and Gynecology,Zengdu Hospital,Suizhou 441300,China)

机构地区：[1]湖北省随州市曾都医院妇产科,湖北随州441300

出　　处：《实用妇科内分泌电子杂志》2023年第11期12-14,共3页Electronic Journal of Practical Gynecological Endocrinology

基　　金：2021-2022年度随州市卫生健康委科研究项目(编号2021SZ32073)。

摘　　要：目的比较研究阴式子宫切除手术与经阴道骶棘韧带固定手术治疗中重度盆腔脏器脱垂患者对改善生活质量、降低复发率的临床价值。方法选取68例中重度盆腔脏器脱垂患者,根据不同手术方法将其分为试验组(35例)与对照组(33例)。试验组采用经阴道骶棘韧带固定手术治疗,对照组采用传统阴式子宫切除手术治疗。比较两组临床疗效。结果试验组平均手术时间、术后住院时间较对照组更短,术中出血量和总住院费用较对照组更少(P<0.05)。试验组无复发情况,对照组复发4例,复发率为12.12%。试验组复发率低于对照组(P<0.05)。手术前,两组盆腔功能障碍性疾病症状问卷表(PFDI-20)、盆底功能障碍影响简易问卷(PFIQ-7)、盆腔器官脱垂/尿失禁性功能问卷(PISQ-12)评分比较,差异无统计学意义(P>0.05);手术后,试验组PFDI-20、PFIQ-7评分较对照组更低,PISQ-12评分较对照组更高(P<0.05)。试验组患者总满意度高于对照组,差异有统计学意义(P<0.05)。结论相较于阴式子宫切除手术,经阴道骶棘韧带固定手术治疗中重度盆腔脏器脱垂,更有利于改善患者生活质量,减少复发率,值得临床推广。Objective To compare the clinical value of vaginal hysterectomy and transvaginal sacrospinous ligament fixation in the treatment of moderate and severe pelvic organ prolapse in improving the quality of life of patients and reducing the recurrence rate.Methods 68 patients maderate to severe pelvic organ prolapse were selected and divided into experimental group(35 cases)and control group(33 cases)according to different surgical methods.The experimental group was treated with transvaginal sacrospinous ligament fixation surgery,and the control group was treated with traditional vaginal hysterectomy.The clinical efficacy of the two groups was compared.Results The average operation time and postoperative hospitalization time of experimental group were shorter than those of control group,and the amount of intraoperative blood loss and total hospitalization cost were lower than those of control group(P<0.05).There was no recurrence in the experimental group and 4 cases in the control group,the recurrence rate was 12.12%.The recurrence rate of experimental group was lower than that of control group(P<0.05).Before operation,there was no significant difference in the scores of PFDI-20,PFIQ-7,and PISQ-12 between the two groups(P>0.05).After operation,PFDI-20 and PFIQ-7 scores in experimental group were lower than those in control group,and PISQ-12 scores were higher than those in control group(P<0.05).The total satisfaction of experimental group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion Compared with vaginal hysterectomy,transvaginal sacrospinous ligament fixation in the treatment of moderate and severe pelvic organ prolapse is more conducive to improving the quality of life of patients and reducing the recurrence rate,which is worthy of clinical promotion.

关 键 词：阴式子宫切除手术 经阴道骶棘韧带固定手术 中重度盆腔脏器脱垂 生活质量 复发率 

分 类 号：R713[医药卫生—妇产科学]