摘要
目的探讨阴式注水腔镜技术应用于Prolift手术的可行性及优越性。方法选取2009年6月至～2009年12月于中国医科大学附属盛京医院妇产科住院的患有盆底器官脱垂,行Prolift全盆底重建术治疗的患者24例。其中使用传统方法进行全盆底重建手术的患者12例(设为A组)。使用注水腔镜技术进行盆底重建手术的患者12例(设为B组)。比较两组患者一般资料、围手术期和随访情况,并进行统计学分析。结果两组患者的年龄、绝经年龄、体重指数、孕产次差异无显著性(P>0.05),注水腔镜组后穹窿脱垂严重程度重于常规手术组(P=0.014),后壁平均脱垂程度略重于常规手术组(P=0.031),其他部位脱垂程度差异无显著性。腔镜组术中出血量、血红蛋白减少量、卧床时间均少于常规手术组(P均小于0.05),其他围手术期指标及术后POP～Q分级差异无显著性。结论与常规Prolift方法比较,阴式注水腔镜技术应用于Prolift手术确实可行并具有一定的优越性。
【Objective】AIM Evaluate the feasibility, security and minimally-invasive nature of hydro-endoscope method in pelvic reconstruction operation. 【Methods】24 patients with pelvic organ prolapsed were chose from China Medical University affiliated Shengjing hospital. All of them took the pelvic floor reconstructive surgery, while 12 of them were exposed to the traditional method and the other ones received the hydro-endoscope method. The general conditions before and after the operation were compared. 【Results】There was no significant difference of age, menopause age, BMI, gravidity, parity （P 0.05）. The posterior fornix and posterior wall were more severe prolapsed in the hydro-endoscopic group （P =0.014, P =0.031）. Other conditions didn＇t have significant difference. Blood loose volume, decrease of hemoglobin and time for lying were much less than traditional group （P 0.05）. Other indicator seemed no statistical difference.【Conclusion】The technique of hydro-endoscope has excellent feasibility, security and minimally invasive nature. It also can be widely used for exploration of other part of human body without natural cavity.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第10期1009-1012,共4页
China Journal of Endoscopy
