国际妇产科学杂志

国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (1): 57-59.

• 论著 • 上一篇    下一篇

腹腔镜下骶前固定术治疗盆底功能障碍性疾病18例分析

何英慧，刘桃，金凤斌   

  1. 121000 辽宁锦州，锦州市妇婴医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-02-15 发布日期:2015-02-15

Evaluation on Clinical Effectiveness of Laparoscopic Sacral Colpopexy Treatment of 18 Cases of Pelvic Floor Dysfunction

HE Ying-hui，LIU Tao，JIN Feng-bin   

  1. Department of Obstetrics and Gynecology，Women and Children′s Hospital of Jinzhou，Jinzhou 121000，Liaoning Province，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-02-15 Online:2015-02-15

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摘要： 目的：分析腹腔镜下骶前固定术治疗以中盆腔缺陷为主的盆底功能障碍性疾病的临床疗效，评价骶前固定术的有效性及安全性。方法：18例盆底功能障碍患者采用腹腔镜下骶前固定术，观察术后治愈率及围手术期并发症发生情况。结果：术后治愈率达100%，均未发生术中及术后大出血、膀胱及直肠损伤；术后随访患者解剖结构均得到成功恢复，其阴道断端距离处女膜最远点较术前减小（P＜0.05）；性生活恢复满意度与术前比较差异无统计学意义（P＞0.05）。结论：腹腔镜下骶前固定术是一种安全有效的治疗以中盆腔缺陷为主的盆底功能障碍疾病的手术方式，短期疗效确切，长期疗效有待进一步观察。

关键词: 骨盆底, 脱垂, 腹腔镜, 骶前固定术, 治疗结果

Abstract: Objective：To evaluate the clinical effectiveness of laparoscopic sacral colpopexy in treatment of pelvic organ ｐｒｏｌａｐｓｅ（ＰＯＰ） ｇｉｖｅｎ ｐｒｉｏｒｉｔｙ ｔｏ ｍｉｄｄｌｅ ｐｅｌｖｉｃ ｃａｖｉｔｙ ｄｅｆｅｃｔｓ ａｎｄ ｅｖａｌｕaｔｅ ｔｈｅ ｅｆｆｉｃａｃｙ ａｎｄ ｓａｆｅｔｙ ｏｆ ｔｈｉｓ ｐｒｏｃｅｄｕｒｅ． Ｍｅｔｈｏｄｓ：１８ cases of pelvic floor dysfunction were treated by laparoscopic sacral colpopexy，observing the postoperative cure rate and perioperative complications occurred. Results：The overall cure rate was 100%. No case of intraoperative and postoperative bleeding, bladder and rectum injury. Anatomical structure of postoperative follow-up patients successfully restored, the distance between vaginal cuff end and hymen apoapsis reduced significantly than preoperatiｏｎ （Ｐ＜０．０５）， ｓｅｘ ｌｉｆｅ ｒｅｃｏｖｅｒｙ ｓａｔｉｓｆａｃｔｉｏｎ ｈａｓ ｎｏ ｓｔａｔｉｓｔｉｃａｌｌｙ ｓｉｇｎｉｆｉｃａｎｔ ｄｉｆｆｅｒｅｎｃｅ ｃｏｍｐａｒｅｄ ｗｉｔｈ ｐｒｅｏｐｅｒａｔｉｏｎ （Ｐ＞０．０５）． Ｃｏｎｃｌｕｓｉｏｎｓ：Ｌａｐａｒｏｓｃｏpic sacral colpopexy is a kind of operation method which clinical treatment effect is exact, safe and effective in the treatment of pelvic cavity defects given priority to pelvic floor dysfunction disease. The short-term curative effect is definite , long-term efficacy still needs to be further observed.

Key words: Pelvic floor, Prolapse, Laparoscopes, Sacral colpopexy, Treatment outcome