腹腔镜下宫颈悬吊术治疗绝经后子宫脱垂的疗效

Analysis Curative Effect of Laparoscopic Cervical Suspension in Treatment of Postmenopausal Uterine Prolapse

目的比较腹腔镜下宫颈悬吊术与传统的阴式全子宫切除术治疗绝经后子宫脱垂的疗效。方法绝经后子宫脱垂患者69例随机分为两组,对照组采用传统的阴式全子宫切除术,观察组行腹腔镜下宫颈悬吊术。结果两组均顺利完成手术。观察组手术时间、术中出血量、留置尿管时间、术后住院时间均少于对照组,P<0.05,差异具有统计学意义;两组术后肛门排气时间对比,P>0.05,差异不具有统计学意义;术后随访2年,观察组憋尿时间长于对照组,而腹部下坠感、阴道穹窿膨出等发生率均低于对照组,P<0.05,差异具有统计学意义。结论腹腔镜下宫颈悬吊术治疗绝经后妇女子宫脱垂具有创伤小、疗效好、术后恢复快、复发率低等优点。

Objective To compare the effect of laparoscopic cervical suspension surgery at the top of vagina and traditional transvaginal hysterectomy.Methods Selected 69 patients with uterine prolapse were divided into two groups randomly. The control group was treated with traditional transvaginal hysterectomy, and the observation group with laparoscopic cervical suspension.Results The operation time, intraoperative blood loss, placing a urinary catheter time and postoperative hospitalization time were less than the control group,P〈0.05, had difference statistically significance, The differences of time of postoperative anal exhaust time between two groups,P〉0.05, had no difference statistically signiifcance, By follow-up for 2 years, the time of a full bladder of observation group was longer than the control group, and the rates of abdominal straining feeling and bulging vaginal fornix were lower than the control group,P〈0.05, had difference statistically significance.Conclusion Laparoscopic cervical suspension is less trauma, good curative effects, fast recovery, and low recurrence rate.