Objective:To evaluate the clinical advantages of laparoscopic transverse abdominal wall suspension in treating pelvic organ prolapse.Methods:Sixty patients diagnosed with moderate to severe pelvic organ prolapse and u...Objective:To evaluate the clinical advantages of laparoscopic transverse abdominal wall suspension in treating pelvic organ prolapse.Methods:Sixty patients diagnosed with moderate to severe pelvic organ prolapse and underwent surgical treatment in our hospital between January 2022 and December 2023 were selected.According to different surgical methods,they were divided into an observation group(given laparoscopic transverse abdominal wall suspension)and a control group(given transvaginal mesh implantation),with 30 subjects/group.The data on perioperative-related indicators,quality of life scores,postoperative recurrence,and complications of the two groups of patients were collected.Results:The postoperative hospitalization days and intraoperative bleeding volume of the observation group were significantly lower than those of the control group,but had longer operation time than that of the control group(P<0.05).The differences between the two groups were statistically significant 6 months after surgery,and the Pelvic Floor Disease Quality of Life Impact Questionnaire(PFIQ-7)score of the observation group was significantly higher than the control group(P<0.05).Both groups of patients completed 12 months of follow-up without any postoperative recurrence.The number of complications in the observation group was slightly lower than that of the control group(P>0.05).Conclusion:Laparoscopic transverse abdominal wall suspension was more effective in treating pelvic organ prolapse and is an ideal surgical procedure.展开更多
目的探究盆腔脏器脱垂患者运用腹腔镜下腹壁横向悬吊术的效果。方法随机选取2021年8月-2022年10月临沂市兰山区人民医院妇科收治的80例盆腔脏器脱垂患者为研究对象,按随机数表法分为两组,各40例,对照组行髂耻韧带悬吊术;观察组行腹腔镜...目的探究盆腔脏器脱垂患者运用腹腔镜下腹壁横向悬吊术的效果。方法随机选取2021年8月-2022年10月临沂市兰山区人民医院妇科收治的80例盆腔脏器脱垂患者为研究对象,按随机数表法分为两组,各40例,对照组行髂耻韧带悬吊术;观察组行腹腔镜下腹壁横向悬吊术,对比两组手术时间、住院时间、术中出血量、盆腔脏器脱垂定量分期(pelvic organ prolapse quantitive examination,POP-Q)情况、并发症发生率与复发率、术后生活质量。结果两组手术时间、住院时间相比,差异无统计学意义(P>0.05),观察组术中出血量多于对照组,差异有统计学意义(P<0.05);手术前两组POP-Q分度相比,差异无统计学意义(P>0.05),手术后,两组POP-Q分度与手术前相比,差异有统计学意义(P<0.05),术后两组POP-Q分度相比,差异有统计学意义(P<0.05);观察组并发症发生率(7.5%)与对照组(0)比较,差异无统计学意义(χ^(2)=3.117,P=0.078);观察组复发率为2.5%,低于对照组的17.5%,差异有统计学意义(χ^(2)=6.300,P=0.012);手术前,两组生活质量评分比较,差异无统计学意义(P>0.05),术后3个月,两组生活质量评分均高于术前,差异有统计学意义(P<0.05),但两组生活质量评分相比,差异无统计学意义(P>0.05)。结论盆腔脏器脱垂患者运用腹腔镜下腹壁横向悬吊术治疗,具有显著的治疗效果,其与髂耻韧带悬吊术相比,可改善盆腔脏器脱垂,减少术后并发症。展开更多
基金Shandong Province Traditional Chinese Medicine Science and Technology Project“Effects of Buccal Acupuncture on PGF2α,5-HT,and Uterine Hemodynamics in Patients with Primary Dysmenorrhea”(M-2022240)“Effects of the Combination of Oxycodone and Difference Anesthetic Drugs on Postoperative Cognitive Function and Inflammation-Related Serological Indicators in Elderly ERCP Patients”(ezmr2023-037)。
文摘Objective:To evaluate the clinical advantages of laparoscopic transverse abdominal wall suspension in treating pelvic organ prolapse.Methods:Sixty patients diagnosed with moderate to severe pelvic organ prolapse and underwent surgical treatment in our hospital between January 2022 and December 2023 were selected.According to different surgical methods,they were divided into an observation group(given laparoscopic transverse abdominal wall suspension)and a control group(given transvaginal mesh implantation),with 30 subjects/group.The data on perioperative-related indicators,quality of life scores,postoperative recurrence,and complications of the two groups of patients were collected.Results:The postoperative hospitalization days and intraoperative bleeding volume of the observation group were significantly lower than those of the control group,but had longer operation time than that of the control group(P<0.05).The differences between the two groups were statistically significant 6 months after surgery,and the Pelvic Floor Disease Quality of Life Impact Questionnaire(PFIQ-7)score of the observation group was significantly higher than the control group(P<0.05).Both groups of patients completed 12 months of follow-up without any postoperative recurrence.The number of complications in the observation group was slightly lower than that of the control group(P>0.05).Conclusion:Laparoscopic transverse abdominal wall suspension was more effective in treating pelvic organ prolapse and is an ideal surgical procedure.
文摘目的探究盆腔脏器脱垂患者运用腹腔镜下腹壁横向悬吊术的效果。方法随机选取2021年8月-2022年10月临沂市兰山区人民医院妇科收治的80例盆腔脏器脱垂患者为研究对象,按随机数表法分为两组,各40例,对照组行髂耻韧带悬吊术;观察组行腹腔镜下腹壁横向悬吊术,对比两组手术时间、住院时间、术中出血量、盆腔脏器脱垂定量分期(pelvic organ prolapse quantitive examination,POP-Q)情况、并发症发生率与复发率、术后生活质量。结果两组手术时间、住院时间相比,差异无统计学意义(P>0.05),观察组术中出血量多于对照组,差异有统计学意义(P<0.05);手术前两组POP-Q分度相比,差异无统计学意义(P>0.05),手术后,两组POP-Q分度与手术前相比,差异有统计学意义(P<0.05),术后两组POP-Q分度相比,差异有统计学意义(P<0.05);观察组并发症发生率(7.5%)与对照组(0)比较,差异无统计学意义(χ^(2)=3.117,P=0.078);观察组复发率为2.5%,低于对照组的17.5%,差异有统计学意义(χ^(2)=6.300,P=0.012);手术前,两组生活质量评分比较,差异无统计学意义(P>0.05),术后3个月,两组生活质量评分均高于术前,差异有统计学意义(P<0.05),但两组生活质量评分相比,差异无统计学意义(P>0.05)。结论盆腔脏器脱垂患者运用腹腔镜下腹壁横向悬吊术治疗,具有显著的治疗效果,其与髂耻韧带悬吊术相比,可改善盆腔脏器脱垂,减少术后并发症。
