阴道穹隆吊带悬吊术治疗子宫及阴道穹隆脱垂的临床疗效分析

Clinical Analysis of Sling Suspension Surgery for Uterus and Vaginal Vault Prolapse

目的:探讨阴道穹隆吊带悬吊术在子宫及阴道穹隆脱垂治疗中的应用价值,为临床手术方式的选择提供参考。方法:选择我院妇科2008年5月～2010年4月收治的子宫及阴道穹隆脱垂患者68例,采用盆腔器官脱垂定量法进行临床分期,行阴道穹隆吊带悬吊术。术后随访1年,观察患者的临床疗效、术后并发症发生率和复发率。结果:患者手术时间(45.4±6.7)min;术中出血量(61.2±10.2)ml;术后发生吊带侵蚀1例、泌尿系感染1例、尿潴留2例,经对症处理后均痊愈,术后并发症发生率为5.88%;复发1例,予以子宫托治疗后好转,复发率为1.47%。结论:采用阴道穹隆吊带悬吊术治疗子宫及阴道穹隆脱垂,操作简单、手术创伤小、安全有效,值得临床合理推广。

Objective： Observe the treatment value of sling suspension surgery for uterus for vaginal vault prolapse.Offer a choice of surgical approach for clinical reference.Methods： Choose 68 patients of uterus and vaginal vault prolapse in gynecological of our hospital from May.2008 to Apr.2010.Use of pelvic organ prolapse quantitative method for clinical staging,Give them vaginal vault suspension sling surgery.Patients were followed up 1 year to observe the clinical efficacy,incidence of postoperative complications and recurrence rate.Results： Operative time was（45.4±6.7） min;blood loss was（61.2±10.2） ml;postoperative sling erosion in 1 case,urinary tract infection in 1 case,urinary retention in 2 cases were cured after symptomatic treatment,surgery complication rate was 5.88%;recurrence in 1 case,a pessary to be improved after treatment,the recurrence rate was 1.47%.Conclusion： The vaginal vault and uterine sling suspension surgery for vaginal vault prolapse,simple,minimally invasive,safe and effective.It is worthy of a reasonable extension.