[1]思美丽,王榆平,曹丽芬,等.骶主韧带复合体与耻骨阴道肌交叉缝合术治疗盆腔脏器脱垂临床研究[J].陕西医学杂志,2022,51(11):1381-1384.[doi:DOI:10.3969/j.issn.1000-7377.2022.11.014]
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骶主韧带复合体与耻骨阴道肌交叉缝合术治疗盆腔脏器脱垂临床研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年11期
页码:
1381-1384
栏目:
临床研究
出版日期:
2022-11-05

文章信息/Info

作者:
思美丽王榆平曹丽芬郭玉琳
(榆林市第二医院妇科,陕西 榆林719000)
关键词:
盆腔脏器脱垂 骶主韧带复合体与耻骨阴道肌 交叉缝合术 高位骶韧带悬吊术 生活质量 术后复发
分类号:
R 713.1
DOI:
DOI:10.3969/j.issn.1000-7377.2022.11.014
文献标志码:
A
摘要:
目的:探讨阴式子宫切除术+骶主韧带复合体与耻骨阴道肌交叉缝合术和开腹全子宫切除术+高位骶韧带悬吊术治疗盆腔脏器脱垂(POP)患者的疗效。方法:选取42例POP患者行阴式子宫切除术+骶主韧带复合体与耻骨阴道肌交叉缝合术作为观察组,另选取45例POP患者行开腹全子宫切除术+高位骶韧带悬吊术作为对照组,对比两组患者的手术时间、术中出血量、术后留置尿管时间、术后住院时间、术后POP复发率及生活质量评分。结果:观察组患者手术持续时间、术后留置尿管时间、术后POP复发率均显著小于对照组,生活质量评分显著高于对照组(均P<0.05)。术中出血量及术后住院时间两组比较差异无统计学意义(均P>0.05)。结论:阴式子宫切除术+骶主韧带复合体与耻骨阴道肌交叉缝合术在手术持续时间、术后留置尿管时间、术后POP复发率及生活质量评分方面明显优于开腹全子宫切除术+高位骶韧带悬吊术。该术式利用自身组织进行盆底重建治疗重度盆腔器官脱垂的治愈率更高,疗效更持久,值得应用推广。

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备注/Memo

备注/Memo:
基金项目:陕西省榆林市科技计划项目(YF-2021-62)
更新日期/Last Update: 2022-11-09