改良单孔腹腔镜双侧骶韧带高位悬吊术治疗女性盆腔器官脱垂个案报道

Exploration of modified single hole laparoscopic bilateral high uterosacral ligament suspension in the treatment of female pelvic organ prolapse:A case report

目的初步探讨改良单孔腹腔镜双侧骶韧带高位悬吊术治疗盆腔器官脱垂的安全性和有效性.方法回顾性分析在南京医科大学附属常州第二人民医院妇科行改良单孔腹腔镜双侧骶韧带高位悬吊术患者的临床资料并进行总结分析.结果患者顺利完成手术,手术时间260分钟,术中出血量5 ml,术后1d拔除导尿管,术后无排便排尿功能障碍,无输尿管损伤等并发症,顺利出院并定期随访,对治疗效果满意.结论改良单孔腹腔镜双侧骶韧带高位悬吊术治疗女性盆腔器官脱垂可能是安全有效的.

Objective To investigate the safety and effectiveness of modified single hole laparoscopic bilateral high uterosacral ligament suspension in the treatment of pelvic organ prolapse.Methods The clinical data were analyzed retrospectively of the patient who underwent modified single hole laparoscopic bilateral high uterosacral ligament suspension in the Department of Gynecology,the Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University.Results The operation was successfully completed.The operation time was 260 minutes,the amount of intraoperative bleeding was 5 ml,the urinary catheter was removed one day after operation,and there were no complications such as defecation and urination dysfunction and ureter injury.The patient was discharged smoothly and followed up regularly.The treatment effect was satisfactory.Conclusion Modified single hole laparoscopic bilateral high uterosacral ligament suspension may be safe and effective in the treatment of female pelvic organ prolapse.