骶棘韧带悬吊术治疗老年盆腔脏器脱垂性疾病的临床价值

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目的:探讨骶棘韧带悬吊术治疗中老年盆腔脏器脱垂性疾病的临床疗效。方法:选择2008年9月~2010年10月在吉林大学第二医院收治的有手术指征的盆腔脏器脱垂患者27例作为研究对象,平均病程4.3年,27例均行骶棘韧带悬吊术,于手术后2个月及术后6个月~1年内随诊2次,同时行阴道盆腔检查,客观评估手术后效果,记录术后POP~Q评分,并与术前进行比较。结果:27例患者中,23例获得完整数据,术前与术后比较客观疗效明显,POP~Q评分具有统计学差异(P<0.01);不良反应发生率低,且对症治疗后均可以缓解。结论:骶棘韧带悬吊术具有手术损伤小、经济简单、手术效果确切、术后恢复快、并发症少等优点,是一种较为理想的治疗中老年盆腔脏器脱垂性疾病的方法。 Objective: To investigate the clinical effect of sacrospinous ligament suspension in the treatment of middle-aged and elderly patients with pelvic organ prolapse. Methods: From September 2008 to October 2010, 27 cases of pelvic organ prolapsed indications with surgical indications admitted to the Second Hospital of Jilin University were selected as the study objects. The average course of disease was 4.3 years. All of the 27 cases were treated with sacrospinous ligament suspension Hanging surgery, 2 months after surgery and 6 months to 1 year follow-up 2 times, at the same time, vaginal pelvic examination, an objective assessment of postoperative results, postoperative POP ~ Q score was recorded and compared with preoperative. Results: Of the 27 patients, 23 patients obtained complete data, and the objective and curative effects were obvious before and after surgery. There was a statistically significant difference between the two groups (P <0.01). The incidence of adverse reactions was low and was relieved after symptomatic treatment . Conclusion: The sacrospinous ligament suspension has the advantages of small operation injury, simple economy, exact operation effect, quick recovery after operation and few complications. It is an ideal method for treating pelvic organ prolapse in middle-aged and elderly patients.
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