改良腹腔镜骶骨阴道固定术治疗中盆腔脏器脱垂的临床研究

目的探讨改良腹腔镜骶骨阴道固定术治疗中盆腔脏器脱垂的可行性及疗效。方法对2015年1~6月在攀枝花市中心医院治疗的8例中盆腔脏器脱垂患者的手术时间、术中出血量、术后排尿情况、住院时间进行分析;应用POP-Q系统评估手术前后解剖恢复情况。结果 8例患者手术均成功,手术时间为200~260 min,术中出血量为80~300 m L。术后POP-Q分度明显较术前改善(P0.05),盆底结构基本恢复正常。术后1月及3月随访时C点测量值均在-6 cm以上,客观治愈率为100.0%,主观治愈率87.5%。结论改良腹腔镜骶骨阴道固定术能较好地恢复阴道正常轴向和长度,具有创伤小、术后恢复快、疗效稳定等优势,是治疗中盆腔脏器脱垂一种安全、有效的方法。

Clinical study of modified laparoscopic sacrocolpopexy in the treatment of pelvic organ prolapse

Objective To explore the feasibility and efficacy of modified laparoscopic sacrocolpopexy in the treatment of pelvic organ prolapse .Methods Selected 8 patients with pelvic organ prolapse hospitalized in Panzhihua central hospital from January 2015 to June 2015, the operation time, blood loss, postoperative voiding, hospitalization time were analyzed; evaluated preoperative and postoperative anatomy recovery by POP -Q system.Results Eight patients were operated successfully , the operation time was 200~260 min, the blood loss was 80~300 mL.Postoperative POP-Q indexes improved significantly compared with the preoperative ( P<0.05) , pelvic floor structure returned to normal .The measurement of C point for all patients at the follow -up 1 to 3 months after operation were above -6 cm, the objective cure rate was 100.0%, subjective cure rate was 87.5%.Conclusion Modified laparoscopic sacrocolpopexy is a safe and effective method in the treatment of pelvic organ prolapse , the operation can restore normal vaginal and axial length , with the features of small trauma , fast postoperative recovery and stable effect .