腹腔镜下保留子宫的前路子宫悬吊术治疗盆腔脏器脱垂106例

Clinical analysis of 106 patients with pelvic organ prolapse treated by anterior uterine suspension under the laparoscope

目的探讨腹腔镜下保留子宫的前路子宫悬吊术治疗盆腔脏器脱垂的疗效。方法选取因POP-Q分度Ⅱ~Ⅳ度盆腔脏器脱垂行腹腔镜下保留子宫的前路盆腔脏器脱垂悬吊术治疗患者共106例。记录患者POP-Q分度、年龄、经阴道分娩次数、手术时间、术中出血量、术后住院时间、保留导尿时间、术后并发症、术后随访情况。结果 106例患者中12例(11.32%)Ⅱ度,85例(80.20%)Ⅲ度,9例(8.50%)Ⅳ度;年龄38~82岁,平均(65.4±8.5)岁;手术时间34~165 min,(94.34±27.95)min;术前术后血红蛋白差值-9~28 g/L,平均(6.99±7.93)g/L;术后住院天数2~12 d,平均(4.42±2.29)d;保留导尿时间3 d,主客观治愈率均为100%。结论腹腔镜下保留子宫的前路子宫悬吊术治疗盆腔脏器脱垂效果好且创伤小,安全性高。

Objective To explore the efficacy of laparoscopic anterior uterine suspension in the treatment of patients with pelvic organ prolapse. Methods A total of 106 with POP-Q degree Ⅱ-Ⅳ degree pelvic organ prolapse e were treated by anterior pelvic organ prolapse suspension. The POP-Q graduation,age,vaginal deliveries,operative time,volume,postoperative hospitalization time,retention time of catheterization,postoperative complications,postoperative follow-up were recorded. Results Twelve cases of Ⅱ( 11. 32%),85 cases of Ⅲ( 80. 20%),9 cases( 8. 50 %) Ⅳ cases in 106 cases,aged from 38 to 82,average 65. 4 years old,operation time from 34 to 165 min,average 94. 34 minutes,preoperative and postoperative hemoglobin difference from-9 to 28 g/L,average 6. 991 g/L,postoperative hospital stay from 2 to 12 days,average 4. 421 days,retention time of catheterization was 3 days,there were no intraoperative complications,subjective and objective cure rate was 100%. Conclusion laparoscopic anterior uterine suspension with preservation of the uterus is a safety,effective and minimally invasive method for the treatment of pelvic organ prolapse.