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目的观察盆底重建术预防腹腔镜辅助阴式子宫切除术盆腔器官脱垂(POP)的效果。方法行腹腔镜辅助阴式全子宫切除术的良性子宫病变患者90例随机均分为两组:对照组行常规腹腔镜辅助下阴式全子宫切除术;治疗组术中加行阴道顶端悬吊盆底重建。比较两组近期手术效果。结果两组在手术时间、出血量、排气时间和住院时间等方面均无统计学差异,且均无并发症出现。治疗组术后阴道长于对照组(P<0.05),性生活满意度高(P<0.05),且未见阴道穹窿脱垂患者。治疗组子宫脱垂患者术后膀胱颈活动度及膀胱尿道后角均较术前改善(P<0.05)。结论盆底重建预防腹腔镜辅助阴式子宫切除术POP的近期疗效确切。
Objective To observe the effect of pelvic floor reconstruction in preventing laparoscopic assisted vaginal hysterectomy pelvic organ prolapse (POP). Methods 90 cases of benign uterine lesions assisted by laparoscopy assisted vaginal hysterectomy were randomly divided into two groups: the control group underwent conventional laparoscopic assisted hysterectomy; the treatment group plus vaginal apical suspension Pelvic floor reconstruction. Compare the two groups of recent surgical results. Results There was no significant difference in operation time, blood loss, exhaust time and hospital stay between the two groups, and no complication occurred. Vaginal length in the treatment group was longer than that in the control group (P <0.05), sex life satisfaction was high (P <0.05), and no vaginal vault prolapse was found. The postoperative bladder neck mobility and cystoral and urethral angle in patients with uterine prolapse in the treatment group were significantly improved compared with that before operation (P <0.05). Conclusion pelvic floor reconstruction to prevent laparoscopic-assisted vaginal hysterectomy POP recent curative effect.