改良腹腔镜子宫切除术中圆韧带悬吊阴道残端对防止盆腔脏器脱垂的应用价值分析

Analysis of the Application Value of Suspension of Vaginal Stump with Round Ligament in Improved Laparoscopic Hysterectomy to Prevent Pelvic Organ Prolapse

目的:分析改良腹腔镜子宫切除术中圆韧带悬吊阴道残端对防止盆腔脏器脱垂的应用价值。方法:2021年11月—2023年10月江西省信丰县人民医院选取82例患者作为研究对象,按照随机数字表法分为观察组和对照组,每组41例。对照组采用腹腔镜下子宫切除术治疗,观察组采用改良腹腔镜子宫切除术中圆韧带悬吊阴道残端术治疗。比较两组患者临床疗效、手术用时、术中出血量以及住院时长、术后阴道残端脱垂率及生活质量。结果:观察组术后POP-Q分度低于对照组,观察组手术用时以及住院时长、术中出血量与对照组相当(P>0.05);观察组术后阴道残端脱垂率为2.44%(1/41),低于对照组的9.76%(4/41),但差异无统计学意义(P>0.05);观察组术后综合生活质量问卷(GQOLI74)社会、心理、躯体、物质评分高于对照组(P<0.05)。结论:改良腹腔镜子宫切除术中应用圆韧带悬吊阴道残端后,术后盆腔脏器脱垂率较低,同时能改善手术相关指标、提升生活质量。

Objective:To analyze the application value of suspension of vaginal stump with round ligament in improved laparoscopic hysterectomy to prevent pelvic organ prolapse.Methods:From November 2021 to October 2023,82 patients in the people’s Hospital of Xinfeng County,Jiangxi Province were selected as the research objects and divided into observation group and control group according to the random number table method,41 cases in each group.The control group was treated with laparoscopic hysterectomy,and the observation group was treated with modified laparoscopic hysterectomy with round ligament suspension of vaginal stump.The clinical efficacy,operation time,intraoperative blood loss,length of hospital stay,postoperative vaginal stump prolapse rate and quality of life were compared between the two groups.Results:The POP-Q score of the observation group was lower than that of the control group,and the operation time,hospitalization time and intraoperative blood loss of the observation group were equivalent to those of the control group(P>0.05);The rate of vaginal stump prolapse in the observation group was 2.44%(1g41),which was lower than 9.76%(4/41)in the control group,but the difference was not statistically significant(P>0.05);The social,psychological,physical and material scores of gqoli74 in the observation group were higher than those in the control group(P<0.05).Conclusion:After using the round ligament to suspend the vaginal stump in the modified laparoscopic hysterectomy,the pelvic organ prolapse rate is low,and it can improve the operation related indicators and improve the quality of life.