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目的探讨分析腹腔镜下骶韧带网片悬吊治疗子宫脱垂的临床疗效。方法选取广东省高州市妇幼保健院收治的80例子宫脱垂患者,根据治疗方法进行分组,对照组患者实行腹腔镜下圆韧带缩短术,实验组患者实行腹腔镜下骶韧带网片悬吊术,比较两组患者的临床手术指标、手术前后患者盆腔脏器脱垂的定量评价(POP-Q)情况,以及手术前后患者的生活质量和性生活质量。结果实验组的术中出血量和术后排气时间显著少于对照组的;术后的POP-Q指标发生显著变化,实验组患者在各个点的情况显著好于实验组的情况;实验组手术后6个月盆底功能障碍(PFDI-20)评分(0.35±0.08)分和盆底障碍影响(PFIQ-7)评分(0.28±0.09)分显著低于对照组手术后6个月的PFDI-20(1.28±0.42)分和PFIQ-7(1.28±0.42)分的评分,且盆腔脏器脱垂(尿失禁)性生活评分(PISQ-31)的评分(95.73±32.95)分显著高于对照组PISQ-31的评分(85.73±27.83)分,差异具有统计学意义(P<0.05)。结论应用腹腔镜下骶韧带网片悬吊治疗子宫脱垂可以有效改善患者的临床预后,显著改善患者的生活质量。
Objective To investigate the clinical efficacy of laparoscopic sacral ligament mesh suspension in the treatment of uterine prolapse. Methods 80 cases of uterine prolapse in Gaozhou Maternal and Child Health Hospital of Guangdong Province were selected and grouped according to the method of treatment. Patients in the control group underwent laparoscopic round ligament shortening. Patients in the experimental group underwent laparoscopic sacral ligament mesh suspension The clinical indexes, the quantitative evaluation of pelvic organ prolapse before and after surgery (POP-Q), and the quality of life and quality of life before and after surgery were compared between the two groups. Results The intraoperative blood loss and postoperative exhaust time in the experimental group were significantly less than those in the control group. The postoperative POP-Q index changed significantly. The experimental group at all points was significantly better than the experimental group. The experimental group At 6 months after operation, PFDI-20 score and PFIQ-7 score (0.28 ± 0.09) were significantly lower than those of the control group at 6 months after surgery -20 (1.28 ± 0.42) points and PFIQ-7 (1.28 ± 0.42) points, and the score of PISQ-31 was significantly higher than that of PISQ-31 The score of PISQ-31 in the control group was (85.73 ± 27.83) points, the difference was statistically significant (P <0.05). Conclusion Laparoscopic sacral ligament mesh suspension treatment of uterine prolapse can effectively improve the clinical prognosis of patients, significantly improve the quality of life of patients.