摘要
目的:探讨腹腔镜下侧腹壁联合宫骶韧带悬吊术对中盆腔缺陷患者的治疗效果及安全性。方法:回顾性分析2020年1月-2023年9月在江西省妇幼保健院妇科进行手术治疗的76例中盆腔缺陷[盆腔器官脱垂分度法(pelvic organ prolapse quantification,POP-Q)Ⅱ度以上]患者的临床资料。根据手术方式不同分为观察组和对照组。观察组40例,行腹腔镜下侧腹壁联合宫骶韧带悬吊术;对照组36例,行腹腔镜下骶骨固定术。比较两组围手术期指标与术后住院时间、术后6个月POP-Q检查结果、满意度及术后并发症发生情况。结果:观察组的手术时间短于对照组,术中出血量少于对照组(P<0.05);术后6个月两组均达到解剖学治愈,且未发现复发情况。术后6个月两组POP-Q各指示点比较差异无统计学意义(P>0.05),两组术后6个月POP-Q各指示点较术前改善(P<0.05)。两组总满意度比较,差异无统计学意义(P>0.05)。观察组术后并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论:腹腔镜下侧腹壁联合宫骶韧带悬吊术及骶骨固定术对于中盆腔缺陷患者均有良好的治疗效果,但前者手术耗时更短。
Objective:To investigate the effects and safety of laparoscopic lateral combined with uterosacral ligament suspension in the treatment of patients with middle pelvic defect.Method:The clinical data of 76 patients with middle pelvic defect[pelvic organ prolapse quantification(POP-Q)gradeⅡor above]who underwent surgical treatment in the Gynecology Department of Jiangxi Maternal and Child Health Hospital from January 2020 to September 2023 were retrospectively analyzed.The patients were divided into observation group and control group according to different surgical methods.Forty cases in the observation group were operated by laparoscopic lateral combined with uterosacral ligament suspension surgery,while 36 cases in the control group were operated by laparoscopic sacrocolpopexy.The perioperative indicators,postoperative hospital stay,POP-Q examination results at 6 months after surgery,satisfaction and the occurrence of postoperative complications were compared between the two groups.Result:The operation time of the observation group was shorter than that of the control group,and the intraoperative blood loss was less than that of the control group(P<0.05).Both groups achieved anatomical cure six months after the operation,and no recurrence was found.There were no statistically significant differences in the indicator points of POP-Q between the two groups 6 months after the operation(P>0.05).The indicator points of POP-Q in both groups improved 6 months after the operation compared with those before the operation(P<0.05).There was no statistically significant difference in the total satisfaction rate between the two groups(P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion:Laparoscopic lateral combined with uterosacral ligament suspension and sacrocolpopexy have good therapeutic effects on patients with middle pelvic defect,but the former takes less time for the operation.
作者
熊夏思
XIONG Xiasi(Department of Gynecology,Jiangxi Maternal and Child Health Hospital,Nanchang 330006,China)
出处
《中国医学创新》
2025年第26期52-56,共5页
Medical Innovation of China
基金
江西省卫健委普通科技计划临床课题(202410071)。
关键词
中盆腔缺陷
腹腔镜
侧腹壁联合宫骶韧带悬吊术
骶骨固定术
Middle pelvic defect
Laparoscopic
Lateral combined with uterosacral ligament suspension
Sacrocolpopexy
