腹腔镜手术治疗输卵管结扎术后盆腔淤血综合征的临床研究

Clinical study of iaparoscopy in treatment of pelvic congestion syndrome after tubal ligation

目的探讨腹腔镜下圆韧带悬吊术或缩短术治疗输卵管结扎术后盆腔淤血综合征（PCs）的临床疗效。方法应用腹腔镜下圆韧带悬吊术或缩短术治疗30例PCS患者，术后3个月开始随访，了解患者症状缓解情况。结果全部病例术后症状均有不同程度的缓解，治愈率为73．3％（22／30），好转率为20．0％（6130），无效率为6．7％（2／30），总有效率为93．3％（28130）。结论腹腔镜可作为PCS的常规和首选诊治手段。腹腔镜下圆韧带悬吊术或缩短术方法简单、手术成功率高，是PCS的一种有效治疗方法。

Objective To observe clinical effects of round ligament ventrosuspension or shortening round ligament operation by laparoscopy on treating pelvic congestion syndrome （PCS） after tubal ligation. Methods Thirty patients with PCS were treated in round ligament ventrosuspension or shortening round ligament operation by laparoscopy. Follow-up was started from the third month after operative procedure to find out patients＇ symptoms ameliorated situations. Results Symptoms of all patients were ameliorated in various degrees after operations. The cure rate of the cases was 73.3%（22/30）, and the rate of improvement was 20.0% （6/30）, and the rate of inefficiency was 6.7% （2/30）, and total effectiveness rate was 93.3% （28/30）. Conclusions Laparoseopy is chosen to be a routine and first diagnosis or treatment means. Round ligament ventrosuspension or shortening round ligament operation by laparoseopy is a simple, high effective way of treating PCS after tubal ligation.