腹腔镜治疗中重度盆腔器官脱垂的临床疗效及改善睡眠质量的效果观察

Laparoscopic Treatment of 110 Cases of Moderate and Severe Pelvic Organ Prolapse and Improvement of Sleep Quality

目的:探究腹腔镜下子宫骶骨固定术治疗中重度盆腔器官脱垂患者的效果,分析临床可用性。方法:选取2018年10月至2019年6月山东德州市第三人民医院收治的中重度盆腔器官脱垂患者110例作为研究对象,随机分为观察组和对照组,每组55例。对照组患者采用阴道网片法子宫悬吊+阴道前后壁修补术进行治疗,观察组患者采用腹腔镜下子宫骶骨固定术进行治疗,对2组患者的手术指标进行记录,比较2组的治疗效果及对睡眠质量的影响。结果:结果显示,观察组患者的出血量、手术时间以及术后住院时间均优于对照组,2组比较差异均有统计学意义(均P<0.05)。并且观察组患者的入睡时间、平均睡眠时间优于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:在对中重度盆腔器官脱垂患者进行治疗时,选择腹腔镜下子宫骶骨固定术进行治疗,能够促进患者康复,值得临床推广应用。

Objective:To explore the effect of laparoscopic uterosacral fixation in the treatment of moderate and severe pelvic organ prolapse,and analyze the clinical availability.Methods:A total of 110 patients with moderate to severe pelvic organ prolapse from October 2018 to June 2019 were selected as the research objects.The patients in the two groups were equally divided according to the operation plan.The patients in the control group were treated with vaginal mesh uterine suspension and anterior and posterior vaginal wall repair,while the patients in the observation group were treated with laparoscopic uterosacral fixation The operation indexes were recorded and the sleep quality was evaluated.Results:In the experimental results,the amount of bleeding,operation time and postoperative hospital stay in the observation group were better than those in the control group,and the difference was significant(P<0.05).And the sleep time and average sleep time of the observation group were better than those of the control group,the difference was significant(P<0.05).Conclusion:In the treatment of patients with moderate to severe pelvic organ prolapse,the choice of laparoscopic uterine sacral fixation for treatment can promote the recovery of patients,It is worthy of clinical application.