腹腔镜下耻骨梳韧带悬吊术治疗子宫脱垂25例

Laparoscopic pectineal ligament suspension in treatment of 25 patients with uterine prolapse

目的探讨腹腔镜下耻骨梳韧带悬吊治疗子宫脱垂的临床效果。方法选取2016年3月至2017年5月中国科学技术大学附属第一医院收治的子宫脱垂Ⅱ度以上病人25例,进行耻骨梳韧带悬吊治疗,统计手术时间、术中出血量、术后住院时间以及随访病人的盆底功能障碍问卷(PFDI-20)评分。结果病人手术时长(151.12±40.08)min,术中出血量(35.60±29.02)m L,住院时长(10.48±2.66)d,均未出现并发症和复发现象,且术后6个月以上病人的PFDI-20评分明显改善(P<0.001)。结论腹腔镜下耻骨梳韧带悬吊治疗子宫脱垂是一种简便、安全、有效的术式,治疗效果满意。

Objective To evaluate the clinical effect of laparoscopic pectineal ligament suspension in the treatment of uterine prolapse.Methods From Mar 2016 to May 2017,a total of 25 consecutive patients of symptomatic uterine prolapse with POP-Q stage≥2 were treated by laparoscopic pectineal ligament suspension.The outcomes of interest included total operative duration,estimated blood loss,surgical length of stay and PFDI-20 score change.Results The operation duration(151.12±40.08)minutes,blood loss(35.60±29.02)ml and postoperative hospital stay(10.48±2.66)day.There were no any complications or recurrence.There were significant improvements in PFDI-20 score after 6 months.Conclusion Laparoscopic pectineal ligament suspension for uterine prolapse is a simple,safe and effective,and the effect of treatment is satisfied.