不同术式治疗盆腔脏器脱垂患者的临床疗效

目的分析影响盆腔脏器脱垂患者术后恢复的因素,为指导盆腔脏器脱垂患者的临床治疗提供依据。方法回顾性分析326例接受盆腔脏器脱垂手术患者的临床资料,比较阴道半封闭术、腹腔镜下阴道残端悬吊术、腹腔镜下保留子宫的前路子宫悬吊术、曼彻斯特手术、腹腔镜辅助经阴道子宫悬吊术、经阴道子宫全切术+自体韧带悬吊术的临床疗效,分析影响患者术后恢复的因素。结果采用腹腔镜下保留子宫的前路子宫悬吊术手术时间(94.34±27.95)min]少于腹腔镜下阴道残端悬吊术(155.22±46.41)min](t=6.476,P=0.000),高于阴道半封闭术(58.38±26.25)min],差异有统计学意义(t=5.128,P=0.005)。在术中出血量方面,腹腔镜下保留子宫的前路子宫悬吊术组(43.13±37.01)m L少于其他组别,差异有统计学意义(P0.01)。在术后住院天数方面,腹腔镜下保留子宫的前路子宫悬吊术组(4.42±2.29)d少于腹腔镜下阴道残端悬吊术组(5.46±1.12)d(t=5.191,P=0.000)和曼彻斯特手术(6.50±1.30)d(t=9.370,P=0.000),差异有统计学意义。结论腹腔镜下保留子宫的前路子宫悬吊术在手术时间、术中出血量和术后住院天数等方面优于其他手术方式。

The clinical effects of different operation manner on pelvic organ prolapse

Objective To analyze the factors for postoperative recovery of patients suffering from pelvic organ prolapsed (POP) by comparing the clinical effects of different operations,which can better assist in guiding treatment.Methods We retrospectively collected 326 cases of patients undergoing POP surgery and analyzed the influences of postoperative recovery factor between different surgical methods.Results The operation time of laparoscopic uterine suspension (94.34±27.95)min](t=6.476,P=0.000) was lower than that of vagina suspension (155.22±46.41)min],but was higher than that of vaginal semi-closed surgery (58.38±26.25)min],with significant difference(t=5.128,P=0.005).In the terms of bleeding during operation,the laparoscopic uterine suspension group (43.13±37.01)mL] was lower than other groups.In the time of postoperative hospitalization,the laparoscopic uterine suspension group (4.42±2.29)d] was lower than the laparoscopic vagina suspension group (5.46±1.12)d](t=5.191,P=0.000) and the Manchester operation group (6.50±1.30)d](t=9.370,P=0.000),the difference was statistically significant.Age and delivery mode were the factors affecting the recovery of postoperative patients.Conclusion The surgery time,blood loss and hospital stay of laparoscopic uterine suspension are superior to other surgical methods.