阴道顶端骶骨悬吊术治疗盆腔器官脱垂31例对比研究

发布时间：2018-06-08 02:00

本文选题：盆腔器官脱垂 + 阴道顶端骶骨悬吊术　；参考：《中国妇产科临床杂志》2015年03期

【摘要】：目的探讨经腹腔镜与经腹行阴道顶端骶骨悬吊术治疗盆腔器官脱垂的可行性、安全性,并比较两种术式的优劣。方法回顾性分析郑州大学第一附属医院2011年2月至2012年6月行阴道顶端骶骨悬吊术患者共31例,其中20例行经腹腔镜手术(观察组),11例行经腹手术(对照组),比较两组患者术前一般情况、围术期及术后随访情况。结果两组患者术前一般情况无明显差异。观察组1例因盆腔粘连严重中转开腹。两组主客观治愈率均为100%,术中均无并发症发生。术后开腹组1例出现盆腹腔感染;随访期间腹腔镜组1例缝线断裂,开腹组1例补片侵蚀暴露,1例新发压力性尿失禁;治疗后均得以痊愈。比较发现腹腔镜组较开腹手术组具有术中出血量少、术后疼痛轻、发热人数少、恢复快、排尿排气早、住院时间短等优点。但手术时间长于开腹组。结论腹腔镜下阴道顶端骶骨悬吊术是安全可行的,且较开腹手术具有术中出血少、术后疼痛轻、发热人数少、恢复快、排尿排气早、住院时间短等优点。
[Abstract]:Objective to explore the feasibility and safety of laparoscopic and transabdominal vaginal apical sacral suspension in the treatment of pelvic organ prolapse. Methods from February 2011 to June 2012, 31 patients underwent vaginal apical sacral suspension in the first affiliated Hospital of Zhengzhou University were retrospectively analyzed. Twenty cases underwent laparoscopic surgery (observation group, 11 cases underwent laparotomy) (control group), the general situation before operation, perioperative period and postoperative follow-up were compared between the two groups. Results there was no significant difference between the two groups in preoperative general conditions. One patient in the observation group was converted to open surgery due to pelvic adhesion. The cure rate of both groups was 100 and there were no complications during operation. One case of pelvic and abdominal infection occurred in the open group, one case of suture rupture in the laparoscopy group and one case of invasive exposure of the patch in the laparotomy group during the follow-up period, and 1 case of new stress urinary incontinence was cured after treatment. It was found that the laparoscopic group had the advantages of less intraoperative bleeding, less postoperative pain, less fever, faster recovery, earlier urination and exsufflation, and shorter hospital stay. But the operative time was longer than that in the open group. Conclusion Laparoscopic vaginal apical sacral suspension is safe and feasible, and has the advantages of less bleeding, less postoperative pain, less fever, faster recovery, earlier urination and exsufflation, and shorter hospital stay.
【作者单位】：郑州大学第一附属医院妇产科;
【分类号】：R713

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