腹腔镜骶韧带悬吊术与经阴道骶棘韧带固定术联合子宫切除术治疗中重度子宫脱垂患者的效果比较  

Comparison of the effects of laparoscopic sacral ligament suspension and transvaginal sacral spinous ligament fixation combined with hysterectomy in the treatment of patients with moderate to severe uterine prolapse

作　　者：常娜 CHANG Na(Department of Obstetrics and Gynecology of Ningling County People’s Hospital,Shangqiu 476700 Henan,China)

机构地区：[1]宁陵县人民医院妇产科,河南商丘476700

出　　处：《中国民康医学》2025年第2期137-140,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较腹腔镜骶韧带悬吊术与经阴道骶棘韧带固定术联合子宫切除术治疗中重度子宫脱垂患者的效果。方法:回顾性分析2020年1月至2023年10月该院收治的105例中重度子宫脱垂患者的临床资料,按照手术方法的不同将其分为观察组(n=52)与对照组(n=53)。对照组实施经阴道骶棘韧带固定术联合子宫切除术治疗,观察组实施腹腔镜骶韧带悬吊术联合子宫切除术治疗。比较两组围术期指标(手术时间、住院时间、排气时间、术中出血量)水平,手术前后性生活质量[盆腔脏器脱垂/尿失禁性生活问卷(PISQ-12)]、盆底功能[盆底功能障碍问卷(PFDI-20)]评分,以及并发症发生率。结果:观察组手术时间长于对照组,术中出血量少于对照组,排气时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后6个月,两组PISQ-12评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);术后6个月,两组PFDI-20评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:腹腔镜骶韧带悬吊术联合子宫切除术治疗中重度子宫脱垂患者可提高性生活质量评分,改善围术期指标水平,以及降低盆底功能评分,其效果优于经阴道骶棘韧带固定术联合子宫切除术治疗。Objective:Comparison of the effects of laparoscopic sacral ligament suspension and transvaginal sacral spinous ligament fixation combined with hysterectomy in the treatment of patients with moderate to severe uterine prolapse Methods:The clinical data of 105 patients with moderate to severe uterine prolapse admitted to this hospital from January 2020 to October 2023 were retrospectively analyzed.According to the different surgical methods,they were divided into observation group(n=52)and control group(n=53).The control group was treated with transvaginal sacrospinous ligament fixation combined with hysterectomy,while the observation group was treated with laparoscopic sacral ligament suspension combined with hysterectomy.The levels of perioperative indicators(operation time,hospitalization time,exhaust time,intraoperative blood loss),the scores of sexual life quality[pelvic organ prolapse/urinary incontinence sexual life questionnaire(PISQ-12)]and pelvic floor function[pelvic floor dysfunction inventory(PFDI-20)]before and after the surgery,and the incidence of complications were compared between the two groups.Results:The operation time of the observation group was longer than that of the control group,the intraoperative blood loss was less than that of the control group,the exhaust time and the hospitalization time were shorter than those of the control group,and the differences were statistically significant(P<0.05).Six months after the surgery,the PISQ-12 scores of the two groups were higher than those before the surgery,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Six months after the surgery,the PFDI-20 scores of the two groups were lower than those before the surgery,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Laparosc

关 键 词：子宫脱垂 经阴道骶棘韧带固定术 腹腔镜骶韧带悬吊术 性生活质量 盆底功能 并发症 

分 类 号：R713.4[医药卫生—妇产科学]