运用腹腔镜治疗中重度盆腔器官脱垂40例临床疗效及对睡眠质量的改善

Laparoscopic Utero-vaginal Fibula Fixation for the Treatment of 40 Cases of Moderate to Severe Pelvic Organ Prolapse

目的:探讨腹腔镜下子宫-阴道骶骨固定术(HY+CSP)治疗中重度盆腔器官脱垂(POP)的安全性、疗效以及并发症。方法:回顾性分析2014年1月至2016年1月我院收治的应用的腹腔镜阴道骶骨固定术(HY+CSP)治疗的POP患者40例,对患者手术前后的POP-Q评分、PISQ评分、PSQI评分予以分析。结果:患者术后盆腔各位点与术前相比较,差异有统计学意义(P<0.05);术后12个月PSQI评分低于术前,差异有统计学意义(P<0.05);术后6个月、12个月PISQ评分均高于术前,差异有统计学意义(P<0.05)。结论:腹腔镜阴道-子宫骶骨固定术可有效恢复POP患者阴道正常解剖位置,治疗效果良好,可有效改善患者的生命质量、睡眠质量,值得推广使用。

Objective： To investigate the safety,efficacy and complications of laparoscopic ureteral-vaginal fibular fixation（ HY ＋ CSP） in the treatment of moderate and severe pelvic organ prolapse（ POP）. Methods： We retrospectively analyzed 40 patients with POP who were treated with laparoscopic vaginal tarsal bone surgery（ HY ＋ CSP） from January 2014 to January 2016 in our hospital. The POP-Q scores and PISQ scores before and after surgery were analyzed. PSQI scores are analyzed. RESULTS： The difference in postoperative pelvic cavity points was statistically significant（ P 〈 0. 05）. The postoperative PSQI score was lower than that before surgery（ P 〈 0. 05）. The PISQ scores at 6 months and 12 months were higher than those before surgery,and the difference was statistically significant（ P 〈 0. 05）. Conclusion：Laparoscopic vaginal-uterine fibular fixation can effectively restore the normal vaginal anatomy of POP patients. The treatment effect is good. It can effectively improve the quality of life and sleep quality of patients. It is worthy of promotion.