腹腔镜下腹膜外子宫悬吊术治疗子宫脱垂66例有效性分析

Efficacy of laparoscopic extraperitoneal uterine suspension in 66 cases of uterine prolapse

目的探讨腹腔镜下腹膜外子宫悬吊术治疗子宫脱垂的临床效果。方法选取我院2011年2月至2018年3月收治的66例子宫脱垂患者作为研究对象,给予腹腔镜下腹膜外子宫悬吊术后对其治疗效果进行分析。结果所有患者均顺利完成腹腔镜下腹膜外子宫悬吊术,平均手术时间为(78.64±36.23)min,术中平均出血量为(80.00±28.62)mL,平均住院时间为(8.27±3.31)d。1例(1.52%)发生腹部切口愈合不良,1例(1.52%)发生材料外露侵蚀,无一例患者发生深静脉血栓栓塞。所有患者术后的临床症状及生活质量均得到明显改善。术后3个月随访时,盆腔器官脱垂的定量化分期(POP-Q)中指示点Aa、Ba、C、D、Ap、Bp位置与术前相比差异均有统计学意义(P均<0.01)。结论腹腔镜下腹膜外子宫悬吊术治疗子宫脱垂具有效果显著、创伤小、恢复快、并发症发生率低、简单易行等优点,可有效改善患者临床症状,提高其生活质量。

Objective To investigate the clinical outcome of laparoscopic extraperitoneal uterine suspension for uterine prolapse.Methods A total of 66 patients with uterine prolapse who underwent laparoscopic extraperitoneal uterine suspension from February 2011 to March 2018 in our hospital were enrolled in this study.Therapeutic effects were retrospectively analyzed.Results All the operation was successfully completed.The mean operation time was(78.64±36.23)min,the mean bleeding volume was(80.00±28.62)mL,and the mean hospitalization time was(8.27±3.31)d.One case(1.52%)had poor healing of abdominal incision.One case(1.52%)had erosion of material exposure.No deep vein thromboembolism was found.Clinical symptoms and life quality of all patients were significantly improved.The location of Aa,Ba,C,D,Ap,and Bp in the Pelvic Organ Prolapse Quantitation(POP-Q)system at 3 months after surgery were significantly different from preoperative ones(all P<0.01).Conclusion Laparoscopic extraperitoneal uterine suspension is simple and practicable for prolapse.It has the advantages of significant effect,small trauma,quick recovery,and low incidence of complications,and can effectively alleviate clinical symptoms and improve life quality of patients.