腹腔镜下改良子宫骶骨固定术治疗子宫脱垂的近期疗效观察

Short-term efficacy of laparoscopic improved uterosacral fixation on uterine prolapse

目的探讨腹腔镜下改良子宫骶骨固定术治疗子宫脱垂的临床疗效,评价其对盆腔器官脱垂治疗的有效性及安全性。方法回顾性分析2010年10~2014年10月妇科收治36例子宫脱垂行手术治疗患者,其中行改良子宫骶骨固定术19例（观察组）,行常规子宫骶骨固定术17例（对照组）。在术后随访评价患者的主观满意度、平均手术时间和术中平均出血量。结果观察组平均手术时间87.4min（53.0~97.0min）,术中平均失血量88.7ml（50.0~98.0ml）,主观治愈率94.7%（18/19）。对照组平均手术时间115.3min（83.0~127.0min）,术中平均失血量150.3ml（115.0~163.0ml）,主观治愈率82.3%（14/17）,两组相比,有显著性差异（P〈0.05）。结论腹腔镜下改良子宫骶骨固定术主、客观治愈率高、并发症少、复发率低,不仅能达到解剖复位,还能显著提高患者术后的生活质量。

Objective To assess the effectiveness of laparoscopic improved uterosacral fixation on uterine prolapse.Methods 36 patients with uterine prolapse were retrospective analyzed from October 2010 to October 2014.Subjective satisfaction,operation time and intraoperative blood loss after the surgery were evaluated in the postoperative follow-up.Results In laparoscopic improved uterosacral fixation group,the mean time of operation was 87.4 min（53.0to 97.0min）,the volume of blood loss during operation was 88.7ml（50.0to 98.0ml）,the subjective cure rates was 94.7%（18/19）.While in the control group,the mean time of operation was 115.3min（83.0to 127.0min）,the volume of blood loss during operation was 150.3ml（115.0to 163.0ml）,the subjective cure rates was 82.3%（14/17）.Compared with each other,there were significant differences.Conclusion Laparoscopic improved uterosacral fixation has higher subjective and objective cure rates,fewer complications and recurrence rate,which not only achieves anatomic reduction,but also significantly improves the quality of life of patients after surgery.