腹腔镜阴道残端悬吊预防子宫切除术后阴道顶端脱垂的临床效果分析

Analysis of clinical effect of laparoscopic vaginal stump suspension for prevention of vaginal apex prolapse after hysterectomy

目的探讨腹腔镜阴道残端悬吊预防子宫切除术后阴道顶端脱垂的效果。方法选取83例子宫切除术患者为研究对象,根据随机数字表法分为对照组(n=41)和研究组(n=42)。对照组采用常规手术,研究组采取腹腔镜阴道残端悬吊方法,比较两组治疗效果、手术指标、术后并发症发生率及术后阴道长度。结果治疗后,研究组总有效率高于对照组(P<0.05);研究组手术时间、术后排气时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05);研究组术后并发症发生率低于对照组(P<0.05);研究组术后阴道前壁及后壁长度均高于对照组(P<0.05)。结论子宫切除术患者采取腹腔镜阴道残端悬吊方法治疗效果较好,能预防阴道顶端脱垂等相关的并发症,有利于降低阴道损伤,且安全性更高,值得临床推广与应用。

Objective To investigate the effect of laparoscopic vaginal stump suspension in preventing vaginal tip prolapse after hysterectomy.Methods A total of 83 patients with hysterectomy were selected and divided into control group(n=41)and study group(n=42)according to random number table method.The control group underwent conventional operation,while the study group underwent laparoscopic vaginal stump suspension.The therapeutic effect,surgical indexes,postoperative complication rate and postoperative vaginal length were compared between the two groups,Results After treatment,the total effective rate of the study group was higher than that of the control group(P<0.05).The operation time,postoperative exhaust time and hospital stay of the study group were shorter than those of the control group,and the amount of intraoperative blood loss was less than that of the control group(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).The length of anterior and posterior vaginal wall in the study group was higher than that in the control group(P<0.05).Conclusion Laparoscopic vaginal stump suspension is effective in the treatment of hysterectomy patients,which can prevent the related complications such as vaginal tip prolapse,and is conducive to reducing vaginal injury with higher safety,which is worthy of clinical promotion and application.