腹腔镜下侧腹壁悬吊术与前盆底重建术治疗中重度子宫脱垂的临床疗效比较

Comparison of Clinical Efficacy Between Laparoscopic Lateral Abdominal Wall Suspension Surgery and Anterior Pelvic Floor Reconstruction Surgery in the Treatment of Moderate to Severe Uterine Prolapse

目的探究腹腔镜下侧腹壁悬吊术与前盆底重建术治疗中重度子宫脱垂的临床疗效。方法非随机选取淮安市第五人民医院于2021年2月—2023年2月收治的80例中重度子宫脱垂患者为研究对象,按治疗方式不同分为研究组(40例)及对照组(40例)。对照组采用前盆底重建术,研究组行腹腔镜下侧腹壁悬吊术。对比两组围术期指标、生活质量评分、并发症发生率。结果相比于对照组,研究组手术时间、住院时间、导尿时间均较短,术中出血量较少,差异有统计学意义(P均<0.05)。研究组各项生活质量评分均优于对照组,差异有统计学意义(P均<0.05)。研究组并发症发生率为2.50%(1/40),低于对照组的27.50%(11/40),差异有统计学意义(χ^(2)=9.804,P<0.05)。结论腹腔镜下侧腹壁悬吊术与前盆底重建术均可有效治疗中重度子宫脱垂,前者对患者造成创伤较小,手术时间、住院时间及导尿时间均较短,出血量更少,利于促进术后生活质量的恢复,且并发症发生率较低,安全性高。

Objective To explore the clinical effect of laparoscopic lateral abdominal wall suspension and anterior pelvic floor reconstruction in the treatment of moderate and severe uterine prolapse.Methods 80 patients with moderate and severe uterine prolapse admitted to the Fifth People's Hospital of Huai'an City from February 2021 to February 2023 were non-randomly selected as the study objects,and were divided into study group(40 cases)and control group(40 cases)according to different treatment methods.The control group underwent anterior pelvic floor reconstruction and the study group underwent laparoscopic lateral abdominal wall suspension.Perioperative indexes,quality of life score and complication rate were compared between the two groups.Results Compared with the control group,the operation time,hospitalization time and catheterization time of the study group were shorter,and the intraoperative blood loss was less,the differences were statistically significant(all P<0.05).The quality of life scores of the study group were better than those of the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the study group was 2.50%(1/40),lower than 2.50%(1/40)in the control group,and the difference was statistically significant(χ^(2)=9.804,P<0.05).Conclusion Both laparoscopic lateral abdominal wall suspension and anterior pelvic floor reconstruction can effectively treat moderate and severe uterine prolapse,the former has less trauma to patients,shorter operation time,hospital stay and catheterization time,and less blood loss,which is conducive to promoting the recovery of postoperative quality of life,and has a lower incidence of complications and high safety.