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腹腔镜下高位骶韧带悬吊术治疗子宫脱垂的效果观察 被引量:5

Observation on the Effect of Laparoscopic High Sacral Ligament Suspension for the Treatment of Uterine Prolapse
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摘要 目的探讨腹腔镜下高位骶韧带悬吊术治疗子宫脱垂的效果。方法选取2016年2月—2017年5月我院收治的子宫脱垂患者90例作为研究对象。根据手术方法,将其分为两组。对照组采用传统手术治疗,观察组采用腹腔镜下高位骶韧带悬吊术治疗。比较两组子宫脱垂手术效果;手术相关指标;手术前后患者生活质量得分;发热等并发症发生率。结果观察组子宫脱垂手术效果高于对照组,差异具有统计学意义(P <0.05);观察组手术相关指标优于对照组,差异具有统计学意义(P <0.05);手术前,两组患者的生活质量得分比较,差异无统计学意义(P> 0.05);手术后,观察组生活质量得分优于对照组,差异具有统计学意义(P <0.05)。观察组并发症少于对照组,差异具有统计学意义(P <0.05)。结论子宫脱垂患者行腹腔镜下高位骶韧带悬吊术的治疗及效果确切、并发症少、手术简单、康复快,可改善患者生活质量。 Objective To investigate the efect of laparoscopic high sacral ligament suspension in the treatment of uterine prolapse. Methods 90 cases of prolapse of uterus from February 2016 to May 2017 were divided into groups according to the operation method. The control group was treated with traditional surgical treatment, and the observation group was treated by laparoscopic high sacral ligament suspension. The results of two groups of uterine prolapse were compared, the related indexes of operation, the quality of life before and after the operation, and the incidence of fever and other complications were compared. Results The operative effect of the uterine prolapse in the observation group was higher than that in the control group, the difference was statistically significant (P〈0.05); the operative index in the observation group was better than that in the control group, the diference was statistically signifcant (P〈0.05); the scores of quality of life in the two groups before operation were compared, the diference was not statistically signifcant (P〉0.05); the quality of life in the observation group after operation was better than that in the control group, the diference was statistically significant (P〈0.05). The complications of the observation group were less than that of the control group, the difference was statistically signifcant (P〈0.05). Conclusion Laparoscopic high sacroiliac ligament suspension is effective and effective for patients with uterine prolapse, with fewer complications, simple operation and fast recovery, which can improve the quality of life of patients.
作者 宋秀芝 SONG Xiuzhi(Obstetrics and Gynecology Department,Lanshan District People's Hospital in Linyi City,Linyi Shandong 276000,China)
出处 《中国继续医学教育》 2018年第30期128-130,共3页 China Continuing Medical Education
关键词 腹腔镜 高位骶韧带悬吊术 子宫脱垂 并发症 生活质量 手术指标 laparoscopy high sacral ligament suspension uterine prolapse complications quality of life surgical indicators
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