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目的:探讨腹腔镜或开腹通过腹股沟韧带及筋膜固定治疗子宫脱垂或伴有阴道前、后壁膨出手术的可行性、安全性和治疗效果。方法:回顾分析2010年6月至2014年5月通过用聚丙烯网片吊带将脱垂子宫(或同时伴有阴道前、后壁膨出)悬吊固定在腹股沟韧带及筋膜上(腹股沟管入口即腹股沟管深环处的腹股沟韧带及筋膜)的5例患者的临床资料。观察手术时间、术中出血量,随访术后疗效。结果:5例患者完成经腹或腹腔镜腹股沟韧带及筋膜固定治疗子宫脱垂手术,手术时间40~100min,出血量10~150ml。4例患者术后1个月、6个月随访,阴道长度均大于7cm,无腹痛,性生活正常,伴随症状消失;1例腹腔镜患者术后1月随访阴道长度约9cm,无慢性盆腔疼痛。结论:腹股沟韧带及筋膜固定术治疗子宫脱垂或同时伴有阴道前、后壁膨出手术是一种安全、可行、相对简单的治疗方法。
Objective: To investigate the feasibility, safety and therapeutic effect of laparoscopic or open laparoscopic surgery for the treatment of uterine prolapse or vaginal anterolateral and posterior wall bulging through the inguinal ligament and fascia. Methods: A retrospective analysis was performed from June 2010 to May 2014. The prolapsed uterus (or both anterior vaginal and posterior wall bulging) was suspended and fixed on the inguinal ligament and fascia by using a polypropylene mesh sling (inguinal canal The entrance of the inguinal canal deep inguinal ligament and fascia) in 5 patients with clinical data. Observation of operation time, intraoperative blood loss, follow-up after treatment. Results: Five patients completed transvaginal or laparoscopic inguinal ligament and fascia fixation for uterine prolapse. The operation time was 40-100min and the bleeding volume was 10-150ml. Four patients were followed up for 1 month and 6 months after operation. The length of the vagina was more than 7 cm and no abdominal pain. Their sexual life was normal and their symptoms disappeared. One case of laparoscopic patients was followed up for 1 month and the vaginal length was about 9 cm. . Conclusion: The inguinal ligament and fascia fixation for uterine prolapse or accompanied by vaginal anterior and posterior wall bulging surgery is a safe, feasible and relatively simple treatment.