改良腹腔镜下子宫悬吊术治疗子宫脱垂40例临床观察

Clinical analysis of modified laparoscopic ventrifixation in the treatment of 40 cases of uterine prolapse

目的:探讨改良腹腔镜下宫颈悬吊术加圆韧带缩短术治疗子宫脱垂的临床价值。方法:腹腔镜下使用补片行宫颈悬吊术,将圆韧带缩短,同时固定子宫在前腹壁上,此手术治疗40例子宫脱垂患者,分析手术时间、术中出血、术后并发症、住院时间,随访治疗效果。结果:平均手术时间45 min,平均术中出血10 ml,平均术后住院时间3 d。40例均获得随访,随访时间12~36个月,尚未出现复发病例。结论:改良腹腔镜宫颈悬吊术作为一种全新的治疗子宫脱垂手术方法,具有创伤小、恢复快、住院时间短、复发率低的优点。

Objective： To investigate the clinical value of modified laparoscopic ventrifixation and desmopyknosis in the treatment of patients with uterine prolapse. Methods ： 40 female patients were treated with modified laparoscopic ventrifixation and and shortened desmopyknosis. The operation time, intraoperative blood loss, occurrence of postoperative complications, hospital stays of the patients were analyzed, and the efficacy were observed during following-up. Results： The average surgery time was 45 min, intraoperative blood loss was 10 ml, average postoperative hospital stay was 3 d. All the 40 patientshad been followed up for 12 to 36 months. All were cured and no laparoscopic ventrifixation, a new therapy for uterine prolapse, quick recovery, short hospitalization and low relapse rate relapse was found. has the advantages Conclusion ： of minimal Modified invasion,