摘要
目的探究盆腔脱垂患者采用腹腔镜下子宫骶骨固定术的临床价值。方法选取2017年1月至2018年8月本院收治的盆腔脱垂患者100例作为研究对象,随机分为对照组与实验组,各50例。对照组接受阴道骶棘韧带悬吊术治疗,实验组接受腹腔镜下子宫骶骨固定术治疗。对比两组手术指标、女性性功能指标量表(FSFI)评分、盆底功能障碍问卷(PFDI20)评分和生活质量评价量表(SF-36)评分。结果实验组手术时间(30.96±5.00)min、术中出血量(27.20±5.50)mL、排气时间(1.35±0.19)d、住院时间(3.17±0.52)d与对照组[(52.01±4.96)min、(50.40±4.34)mL、(1.60±0.26)d、(6.24±0.71)d]比较差异有统计学意义(t=21.1344,P<0.05;t=23.4151,P<0.05;t=4.4895,P<0.05;t=24.6668,P<0.05);实验组性生活质量总分(27.15±0.98)分高于对照组(25.46±0.95)分,差异有统计学意义(t=8.7554,P<0.05);术后,实验组肠道(7.14±2.04)分、盆腔(6.33±1.50)分、膀胱(6.52±1.83)分与对照组[(11.60±2.34)分、(12.50±2.16)分、(12.37±1.97)分]比较,差异有统计学意义(t=10.1588,P<0.05;t=16.5903,P<0.05;t=15.3843,P<0.05);术后,实验组生活质量评分(79.86±5.07)分高于对照组(70.19±5.63)分,差异有统计学意义(t=9.0250,P<0.05)。结论腹腔镜下子宫骶骨固定术治疗盆腔脱垂效果确切,临床推广价值高。
Objective To explore the clinical value of laparoscopic hysterosacral fixation in patients with pelvic prolapse.Methods 100 patients with pelvic prolapse admitted to our hospital from January 2017 to August 2018 were selected as the study subjects.They were randomly divided into the control group and the experimental group,with 50 cases in each group.The control group received vaginal sacrospinous ligament suspension,and the experimental group received laparoscopic hysterosacral fixation.The surgical indicators,female sexual function indicator scale(FSFI)score,pelvic floor dysfunction questionnaire(PFDI20)score and quality of life assessment scale(sf-36)score were compared between the two groups.Results The operation time(30.96±5.00)min,intraoperative blood loss(27.20±5.50)mL,exhaust time(1.35±0.19)d,hospitalization time(3.17±0.52)d in experimental group were compared with the control group[(52.01±4.96)min,(50.40±4.34)mL,(1.60±0.26)d and(6.24±0.71)d],which were statistically significant(t=21.1344,P<0.05;t=23.4151,P<0.05;t=4.4895,P<0.05;t=24.6668,P<0.05).The total score(27.15±0.98)scores of the experimental group was higher than that of the control group(25.46±0.95)scores,with statistical significance(t=8.7554,P<0.05).The postoperative intestinal(7.14±2.04)scores,pelvic(6.33±1.50)scores and bladder(6.52±1.83)scores in the experimental group were compared with the control group[(11.60±2.34)scores,(12.50±2.16)scores and(12.37±1.97)scores],showing statistical significance(t=10.1588,P<0.05;t=16.5903,P<0.05;t=15.3843,P<0.05).The score of postoperative quality of life(79.86±5.07)scores in the experimental group was higher than(70.19±5.63)scores in the control group,with statistical significance(t=9.0250,P<0.05).Conclusion Laparoscopic hysterosacral fixation for the treatment of pelvic prolapse is effective and has high clinical value.
作者
高华
Gao Hua(Department of Obstetrics and Gynecology,Hubei Songzi People's Hospital,Songzi,Hubei,434200,China)
出处
《当代医学》
2020年第36期27-29,共3页
Contemporary Medicine
关键词
盆腔脱垂
子宫骶骨固定术
生活质量
腹腔镜手术
盆底功能
Pelvic prolapse
Hysterosacral fixation
Quality of life
Laparoscopic surgery
Pelvic floor functional
