经阴道尿道中段线性悬吊术在盆腔脏器脱垂合并压力性尿失禁中的应用  

Application of Transvaginal Urethral Mid Segment Linear Suspension Surgery for Pelvic Organ Prolapse Combined with Stress Urinary Incontinence

作　　者：陈慧[1] CHEN Hui(Obstetrics and Gynecology Department,Guangning County People's Hospital,Guangning,Guangdong 526300)

机构地区：[1]广宁县人民医院妇产科,广东广宁526300

出　　处：《智慧健康》2024年第36期49-52,共4页Smart Healthcare

基　　金：肇庆市科技创新指导类项目《经阴道尿道中段线性悬吊术在盆腔器官脱垂合并压力性尿失禁中的应用》(项目编号:2022040309007)。

摘　　要：目的探讨经阴道尿道中段线性悬吊术在盆腔脏器脱垂(POP)合并压力性尿失禁(SUI)中的应用效果。方法回顾性选取2022年6月—2023年12月在本院治疗的POP合并SUI患者60例为研究对象,按照手术方式分组,对照组(30例)采取经阴道全子宫切除+阴道前后壁修补术+阴道残端悬吊术+尿道折叠术,观察组(30例)将尿道折叠术替换为尿道中段线性悬吊术,对两组治疗后效果及术后恢复情况进行比较。结果观察组治疗总有效率较对照组高(P<0.05)。观察组术中出血量、手术时间均高于对照组,切口愈合时间、住院时间均短于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率较对照组更低(P<0.05)。观察组术后满意度较对照组高(P<0.05)。术前,两组ⅡQ-7、PISQ-12评分相比,差异无统计学意义(P>0.05);术后,观察组ⅡQ-7评分更低、PISQ-12评分更高(P<0.05)。结论经阴道尿道中段线性悬吊术用于盆腔脏器脱垂合并压力性尿失禁中效果满意,有助于促进术后恢复,减少并发症发生,还可提高患者术后满意度及生活质量,具有临床借鉴价值。Objective To explore application of transvaginal mid urethral linear suspension surgery in treatment of pelvic organ prolapse(POP)combined with stress urinary incontinence(SUI).Methods The paper reviewed and chose 60 POP patients combined with SUI in our hospital from June 2022 to December 2023,and divided them into two groups according to surgical methods.The control group(30 cases)was treated with transvaginal total hysterectomy,anterior and posterior vaginal wall repair,vaginal stump suspension,and urethral folding surgery,while the observation group(30 cases)with mid urethral linear suspension surgery instead of urethral folding surgery.The postoperative effect and recovery was compared between two groups.Results Total effective rate of the observation group was higher than the control group(P<0.05).The intraoperative blood loss and surgical time in the observation group was higher than the control group,while incision healing time and length of stay was shorter than the control group.Difference between groups was statistically significant(P<0.05).Incidence of complications in the observation group was lower than the control group(P<0.05).The postoperative satisfaction degree of the observation group was higher than the control group(P<0.05).Before surgery,there was no statistically significant difference in scores of IIQ-7 and PISQ-12 between two groups(P>0.05).After surgery,the observation group had lower Q-7 scores and higher PISQ-12 scores(P<0.05).Conclusion Transvaginal urethral mid segment linear suspension surgery is effective for pelvic organ prolapse combined with stress urinary incontinence,can promote postoperative recovery,reduce complications,and improve satisfaction degree and life quality of patients,which has clinical reference value.

关 键 词：经阴道尿道中段线性悬吊术 盆腔脏器脱垂 压力性尿失禁 

分 类 号：R47[医药卫生—护理学]