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目的探讨手术治疗年轻女性盆腔器官脱垂性疾病的临床疗效。方法回顾性分析新疆维吾尔自治区人民医院2008-09-2010-06应用曼式或宫颈部分截除术同时腹腔镜下高位骶韧带悬吊术治疗患不同程度盆腔器官脱垂性疾病,年轻女性患者33例的临床资料。结果手术时间平均70 min,术中出血量平均50 ml,3例患者术后出现膀胱不稳定症状外,其余均未发现术后并发症,术后3、6、12、18个月定期随访,33例患者的脱垂症状全部得到纠正,无一例复发,治愈率100%。结论曼式或宫颈部分截除术同时腹腔镜下高位骶韧带悬吊术,能够恢复盆底功能并能保留生殖器官,是一种安全、有效、经济、微创的治疗盆腔器官脱垂性疾病的手术方式,尤其是适合要求保留生殖器官及生育功能的年轻女性的手术方式,短期疗效肯定,但长期疗效待进一步观察。
Objective To investigate the clinical efficacy of surgical treatment of pelvic organ prolapse in young women. Methods Retrospective analysis of People ’s Hospital of Xinjiang Uygur Autonomous Region. 2008-09-2010-06 The application of mannitous or cervical partial resection combined with laparoscopic high sacral ligament suspension for treatment of pelvic organ prolapse with different degrees of severity, young female patients Cases of clinical data. Results The average operation time was 70 min and the average amount of intraoperative blood loss was 50 ml. No postoperative complications were found in 3 patients. Postoperative follow-up was performed at 3, 6, 12 and 18 months after operation. All 33 cases of prolapse symptoms were corrected, no case of recurrence, the cure rate was 100%. Conclusions Mannian or cervix partial resection combined with laparoscopic sacral ligament suspension can restore pelvic floor function and retain reproductive organs. It is a safe, effective, economical and minimally invasive treatment of pelvic organ prolapse Of surgical procedures, especially for young women who require retention of reproductive organs and reproductive function surgical approach, short-term effect is positive, but the long-term efficacy to be further observed.