改良腹腔镜下子宫骶骨固定术的临床观察
首发时间:2018-10-12
摘要: 目的:分析实际临床上,改良腹腔镜子宫骶骨固定术对盆腔器官脱垂(POP)患者的疗效。方法: 根据盆腔器官脱垂定量分类法(pelvic organ prolapse quantitation, POP-Q),将2015年1月-2017年4月期间江南大学附属医院就诊的35例患者,分为盆腔脏器脱垂为Ⅱ和Ⅲ期,进行改良腹腔镜下子宫骶骨固定术手术治疗(保留子宫),统计并分析手术时间、并发症、术中出血量、术后肠道功能 、膀胱功能;术后电话追踪回访性功能恢复、术后复发率等指标。结果:平均手术时间(62±10)min,平均失血量50ml;术后1天拔尿管,无明显不适及感染;住院时间平均4.3天,术后主观治愈率100%,性功能恢复良好。结论:改良腹腔镜子宫骶骨固定术对盆腔器官脱垂有良好的治疗效果,手术时间段、术中出血少,术后恢复好,值得推广。
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Clinical observation of hysteroscacral fixation under modified laparoscopy
Abstract:Objective: To evaluate and analyze the clinical efficacy of hysterosacral fixation under modified laparoscopy to the patients of POP. Method:A total of 35 cases were Ⅱand Ⅲ stages of pelvic organ prolapse(POP-Q)and underwent modified laparoscopy ( uterus were preserved) in our hospital from January 2015 to April 2017.The intraoperative blood loss,operation time,postoperative complications,time of inurethral catheter,anus exhausting time,hospital stay,the subjective satisfaction and objective cure rate during follow-up were recorded. Result: The operation time averaged(62±10)min, intraoperative blood loss averaged 50 ml, inurethral catheter laied it up after operation 1d and they average hospital stay were 4.3d. All the patients were satisfied the postoperative effect and sexual function recovered well. Conclusion:It has good therapeutic effect on pelvic organ prolapse to use modified laparoscopic uterine sacrum fixation. There are more advantages like short operation time, less intraoperative blood loss and better postoperative recovery. It is worthy of clinical application.
Keywords: laparoscopic sacrocolpopexy pelvic organ prolapse
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