改良腹腔镜下子宫悬吊术加圆韧带缩短术治疗子宫脱垂的临床观察

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目的:研究改良腹腔镜下子宫悬吊术加圆韧带缩短术治疗子宫脱垂的临床效果。方法:将从2014年1月至2015年8月在我院妇科接受手术治疗的子宫脱垂患者60例作为研究对象,其中接受改良腹腔镜辅助下实施子宫悬吊术联合圆韧带缩短术者30例纳入观察组,接受阴式子宫切除术者30例纳入对照组,观察并对比两组治疗前后的盆腔器官脱垂定量(POP-Q)分度情况、手术相关指标及手术并发症。结果:与治疗前比,治疗后两组的POP-Q分度均显著改善(P<0.05)。观察组的手术时间、术中出血量以及术后留院时长分别显著少于对照组(P<0.05)。观察组的手术并发症总发生率是10.00%,显著低于对照组的33.33%(P<0.05)。结论:在改良腹腔镜辅助下实施子宫悬吊术联合圆韧带缩短术对子宫脱垂患者的疗效显著,且有利于患者尽快康复,安全性高,值得临床推广应用。 Objective: To study the clinical effect of modified laparoscopic hysterectomy plus round ligament shortening for the treatment of uterine prolapse. Methods: From January 2014 to August 2015 in our hospital gynecological surgical treatment of 60 cases of uterine prolapse patients as the research object, which underwent improved laparoscopic assisted uterine suspension combined with round ligament shortened 30 Cases included in the observation group, received vaginal hysterectomy in 30 cases were included in the control group, observed and compared before and after treatment of pelvic organ prolapse quantitative (POP-Q) indexing, surgery-related indicators and surgical complications. Results: Compared with those before treatment, the POP-Q index of two groups were significantly improved after treatment (P <0.05). The operation time, intraoperative blood loss and postoperative hospital stay in the observation group were significantly less than those in the control group (P <0.05). The total complication rate in observation group was 10.00%, which was significantly lower than that in control group (33.33%, P <0.05). Conclusion: The implementation of modified laparoscopic hysterectomy and round ligament shortening in patients with uterine prolapse significant effect, and is conducive to recovery of patients as soon as possible, high safety, it is worth promoting the clinical application.
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