腹腔镜下阴道残端悬吊术治疗重度子宫脱垂中的效果及对盆底肌电值及支持结构的影响  

Study on the Effect of Laparoscopic Vaginal Stump Suspension Surgery in the Patients with Severe Uterine Prolapse and Influence for Pelvic Floor Electromyography Values and Support Structure

作　　者：陈泗总 CHEN Sizong(Department of Gynecology,Sanming First Hospital,Sanming,Fujian 365000,China)

机构地区：[1]三明市第一医院妇科,福建三明365000

出　　处：《中国医药指南》2025年第11期26-29,共4页Guide of China Medicine

基　　金：三明市科技计划项目(2017-s-3)。

摘　　要：目的探究腹腔镜下阴道残端悬吊术治疗重度子宫脱垂中的疗效及对盆底肌电值及支持结构的影响。方法选取2021年1月至2024年1月收治的160例重度子宫脱垂患者,根据随机数表法分为对照组(80例)和观察组(80例)。对照组采用传统的阴式全子宫切除术治疗,观察组应用腹腔镜下阴道残端悬吊术治疗。比较两组的子宫脱垂治疗总有效率、治疗相关指标(手术时间、出血量、排气时间及住院时间)、并发症发生率、手术前后的盆底功能障碍问卷(PFDI-20)、静息及瓦氏动作下的盆底支持结构指标(H线、M线、G1角及G2角)及盆底肌电值。结果观察组治疗总有效率高于对照组,其中对照组治疗总有效率为90.00%,观察组治疗总有效率为98.75%(P<0.05);手术时间观察组长于对照组,观察组出血量少于对照组,排气时间及住院时间观察组短于对照组(P<0.05);观察组并发症总发生率较对照组低(P<0.05);术后3个月,观察组的PFDI-20量表评分、静息及瓦氏动作下的盆底支持结构指标低于对照组,盆底肌电值高于对照组(P<0.05)。结论重度子宫脱垂患者采用腹腔镜下阴道残端悬吊术治疗的作用价值,对盆底肌电值及支持结构具有改善价值,因此在重度子宫脱垂患者中的应用价值较高。Objective To investigate the efficacy of laparoscopic vaginal stump suspension surgery in severe uterine prolapse and its impact on pelvic floor electromyography values and supporting structures.Methods A total of 160 patients with severe uterine prolapse who were admitted from January 2021 to January 2024 were selected and divided into a control group(80 cases)and an observation group(80 cases)using the random number table method.The control group underwent traditional vaginal hysterectomy,while the observation group received laparoscopic vaginal vault suspension.The study compared the total effective rate of uterine prolapse treatment,surgical-related indicators(operative time,blood loss,time to flatus,and hospital stay duration),incidence of complications,pelvic floor dysfunction inventory(PFDI-20)before and after surgery,pelvic support structure indices(H line,M line,G1 angle,and G2 angle)during rest and Valsalva maneuver,and pelvic floor muscle electromyography values.Results The total effective rate of treatment was higher in the observation group than in the control group,with the control group achieving a total effective rate of 90.00%and the observation group achieving 98.75%(P<0.05).The operative time was longer in the observation group than in the control group,while blood loss was lower in the observation group than in the control group.The time to flatus and hospital stay duration were shorter in the observation group than in the control group(P<0.05).The overall incidence of complications was lower in the observation group than in the control group(P<0.05).Three months after surgery,the PFDI-20 scale scores,pelvic support structure indices during rest and Valsalva maneuver,and pelvic floor muscle electromyography values were lower in the observation group than in the control group,while the pelvic floor muscle electromyography values were higher in the observation group than in the control group(P<0.05).Conclusions The value of laparoscopic vaginal stump suspension surgery in the treatment of severe

关 键 词：重度子宫脱垂 腹腔镜下阴道残端悬吊术 盆底肌电值 盆底支持结构 

分 类 号：R713.4[医药卫生—妇产科学]