腹腔镜高位骶韧带联合圆韧带悬吊术治疗子宫脱垂的临床效果分析

发布时间：2019-03-26 12:20

【摘要】：目的探讨子宫脱垂采用腹腔镜高位骶韧带联合圆韧带悬吊术治疗的临床效果。方法选择2014年5月—2017年4月在郑州大学第二附属医院手术的84例子宫脱垂患者为研究对象,并对患者进行以治疗方式不同,分为A组(n=42)和B组(n=42),A组患者行腹腔镜子宫全切+高位骶韧带联合圆韧带悬吊术为观察组。B组患者行腹腔镜子宫全切+高位骶韧带悬吊术作为对照组。对比分析两组手术情况、主客观满意度、生活质量、性生活质量以及复发情况。结果两组的手术时间分别为(85.42±12.48)、(88.64±13.15)min,组间比较差异无统计学意义(t=0.312,P=0.758);出血量分别为(92.64±20.16)、(90.86±21.12)m L,组间比较差异无统计学意义(t=-0.865,P=0.385);住院时间分别为(5.86±0.85)、(5.92±0.88)d,组间比较差异无统计学意义(t=-1.512,P=0.131)。两组患者POP-Q分期差异无统计学意义(P0.05);两组VAS评分分别为(8.32±0.96)分、(8.28±0.94)分,组间比较差异无统计学意义(t=0.742,P=0.461)。治疗后,两组患者盆底障碍影响简易问卷(PFIQ-7)评分分别为(90.26±22.08)分、(110.83±24.23)分,均低于治疗前,且A组低于B组,差异有统计学意义(P0.05)。两组性生活质量问卷(PISQ-12)评分分别为(40.32±3.65)分、(35.27±2.82)分,均高于治疗前,且A组高于B组,差异有统计学意义(P0.05);A组复发率为2.4%,低于B组的21.4%(χ~2=3.77.P=0.048)。结论子宫脱垂采用腹腔镜高位骶韧带联合圆韧带悬吊术治疗,可有效改善患者生活质量和性生活质量,且有较好的远期效果。
[Abstract]:Objective to investigate the clinical effect of laparoscopic high sacral ligament combined with round ligament suspension in the treatment of uterine prolapse. Methods from May 2014 to April 2017, 84 patients with uterine prolapse who were operated on in the second affiliated Hospital of Zhengzhou University were divided into two groups: group A (n = 42) and group B (n = 42), and the patients were treated with different treatment methods, and the patients were divided into two groups: group A (n = 42) and group B (n = 42). Group A received laparoscopic hysterectomy with high sacral ligament and round ligament suspension as observation group, group B received laparoscopic total hysterectomy with high sacral ligament suspension as control group. Two groups of surgery, subjective and objective satisfaction, quality of life, quality of life and recurrence. Results the operative time of the two groups was (85.42 卤12.48), (88.64 卤13.15) min, and there was no significant difference between the two groups (t = 0.312, P = 0.758). The bleeding volume was (92.64 卤20.16), () 90.86 卤21.12) m L, (t = 0.865, P = 0.385), and there was no significant difference between the two groups (t = 0.865, P = 0.385). The hospitalization time was (5.86 卤0.85), (5.92 卤0.88) days, and there was no significant difference between the two groups (t = 1.512, P = 0.131). There was no significant difference in the POP-Q stages between the two groups (P0.05), and the VAS scores in the two groups were (8.32 卤0.96) and (8.28 卤0.94), respectively. There was no significant difference between the two groups (t = 0.742, P = 0.461). After treatment, the PFIQ-7 scores of the two groups were (90.26 卤22.08) and (110.83 卤24.23), respectively, which were lower than those before treatment, and group A was lower than that of group B, the difference was statistically significant (P0.05). The scores of PISQ-12 in the two groups were (40.32 卤3.65) and (35.27 卤2.82), respectively, which were higher than those before treatment, and the scores in group A were higher than those in group B (P0.05). The recurrence rate of group A was 2.4%, which was lower than that of group B (21.4%) (蠂 ~ 2=3.77.P=0.048). Conclusion Laparoscopic high sacral ligament combined with round ligament suspension can effectively improve the quality of life and sexual life in patients with uterine prolapse and has a good long-term effect.
【作者单位】：郑州大学第二附属医院妇产科郑州大学第二附属医院妇科
【分类号】：R713.4

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