腹腔镜髂耻韧带悬吊术治疗中盆腔器官脱垂的效果  

Effect of laparoscopic pectopexy in treating middle compartment pelvic organ prolapse

作　　者：付志情 徐燕苗 陈伟涛 汪兰萍 胡辉艳 姚海霞 FU Zhiqing;XU Yanmiao;CHEN Weitao;WANG Lanping;HU Huiyan;YAO Haixia(Department of Gynecology,Shangrao People's Hospital,Jiangxi Province,Shangrao334000,China)

机构地区：[1]江西省上饶市人民医院妇科,江西上饶334000

出　　处：《中国当代医药》2024年第26期64-67,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202312280)。

摘　　要：目的探讨腹腔镜髂耻韧带悬吊术治疗中盆腔器官脱垂的效果。方法选取2021年3月至2022年3月在上饶市人民医院妇科住院接受择期手术治疗的40例中盆腔器官脱垂患者作为研究对象,按照随机数字表法分成观察组(20例)与对照组(20例)。观察组行腹腔镜髂耻韧带悬吊术治疗,对照组行腹腔镜下骶骨固定术治疗。比较两组手术情况、术中及术后并发症、生活质量及手术解剖学疗效。结果观察组患者术中出血量少于对照组,手术及住院时间短于对照组,差异有统计学意义(P<0.05);观察组患者术后的盆底功能障碍性疾病症状问卷短表(PFDI-20)及其各分量表评分低于对照组,差异有统计学意义(P<0.05);两组术后留置尿管时间、各项并发症及总发生率、客观治愈率、复发率比较,差异无统计学意义(P>0.05)。结论腹腔镜髂耻韧带悬吊术治疗中盆腔器官脱垂能缩短手术以及术后住院时间,术中出血量更少,术后PFDI-20改善更显著,但术后并发症、客观治愈率及复发率与腹腔镜下骶骨固定术相当。Objective To investigate the therapeutic effect of laparoscopic pectopexy on middle compartment pelvic organ prolapse.Methods A total of 40 patients with middle compartment pelvic organ prolapse who underwent elective surgery in Gynecology Department at Shangrao People's Hospital from March 2021 to March 2022 were selected as the study objects and they were grouped into observation group(20 cases)and control group(20 cases)by random number table method.The observation group were treated with laparoscopic pectopexy,and the control group were treated with laparoscopic sacral colpopexy.Surgical situation,intraoperative and postoperative complications,quality of life,and surgical anatomical efficacy were compared between the two groups.Results The blood loss of the observation group was less than that in the control group,and the surgical time,and the length of postoperative hospital stay of the observation group was shorter than that in the control group,and the differences were statistically significant(P<0.05).The pelvic floor distress inventory(PFDI-20)scores and the scores for subscales of the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Postoperative catheter indwelling time,the incidence rates of complications,the total incidence,the objective cure rate and recurrence rate showed no statistically significant differences between groups(P>0.05).Conclusion Laparoscopic pectopexy can shorten surgical time and postoperative hospital stay,reduce intraoperative blood loss,and improve postoperative PFDI-20 scores of patients with middle compartment pelvic organ prolapse.It is comparable to laparoscopic sacral colpopexy in terms of postoperative complications,objective cure rate and recurrence rate.

关 键 词：中盆腔器官脱垂 腹腔镜髂耻韧带悬吊术 腹腔镜下骶骨固定术 并发症 

分 类 号：R711[医药卫生—妇产科学]