腹腔镜下骶韧带高位悬吊术治疗中盆腔缺陷的临床效果

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the clinical value of laparoscopic sacral ligament suspension with pelvic defects.Methods A total of 80 patients with middle pelvic defects from September 2018 to August 2020 in the Department of Gynaecology of Zibo Maternal and Child Health Hospital were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 40 cases in each group.The observation group was received laparoscopic sacral ligament suspension,the control group was received unilateral sacrospinous ligament fixation.The changes of pelvic floor muscle electrophysiology index 3 months after operation,the score of pelvic floor distress inventory short form 20(PFDI-20)before operation,at discharge after operation,and 3 months after operation,as well as the changes of urinary flow dynamics indexes 3 months after operation were compared between the two groups.Results After 3 months of operation,the voltage level of pelvic floor muscle in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05),the muscle strength of pelvic floor muscle type Ⅰand pelvic floor muscle type Ⅱfibers in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).At discharge and 3 months after operation,the PFDI-20 score of the observation group was lower than that of the control group,with statistical significance(P<0.05).Three months after operation,the maximum urine flow and the maximum detrusor pressure in the observation group were higher than those in the control group,with statistical significances(P<0.05).Conclusion Laparoscopic high suspension of sacral ligament can significantly improve pelvic floor muscle tension and improve clinical symptoms of pelvic floor dysfunction and improve urinary system function.

Key words： Laparoscopy High suspension of sacral ligament Middle pelvic cavity defect Pelvic floor muscle tension Urodynamics

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Wei

Cite this article:

LIU Wei. Clinical effect of laparoscopic high sacral ligament suspension in the treatment of pelvic defects[J]. 中国当代医药, 2021, 28(24): 152-154.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I24/152

[1]	杨琳俐，徐臻，王武亮.阴道前壁的自体组织Kelly 术联合腹腔镜高位宫骶韧带悬吊术治疗重度前盆腔缺陷的疗效[J].中国微创外科杂志，2020，20（3）：218-223.
[2]	陈佳伟，双卫兵.不同悬吊位点术式治疗中盆腔脏器脱垂的临床应用[J].中国医学工程，2019，27（12）：34-37.
[3]	郭红，沈志娟，覃小敏，等.腹腔镜高位宫骶韧带悬吊术联合子宫颈截除术治疗生育期子宫脱垂的疗效及术后性功能状况研究[J].中国性科学，2019，28（12）：49-52.
[4]	施丽景，韦伟，李百加，等.腹腔镜下骶韧带高位悬吊联合圆韧带缩短术治疗对子宫脱垂患者有效性的研究[J].中国性科学，2019，28（11）：92-96.
[5]	黄薇，胡丽娜.盆底松弛器官脱垂的POP-Q 评估系统及其应用[J].中国实用妇科与产科杂志，2006，18（2）：158-160.
[6]	吴瑾，招艳，万忠艳，等.产前孕妇和家属对盆底功能障碍认知情况的调查分析[J].吉林医学，2011，32（11）：2171-2173.
[7]	陈敬华，洪莉，蒋敏.改良骶棘韧带固定术与高位宫骶韧带悬吊术治疗中年女性盆腔脱垂的疗效[J].临床和实验医学杂志，2018，17（23）：2524-2527.
[8]	于鹤.65 例子宫脱垂患者腹腔镜下骶韧带高位悬吊术治疗的临床分析[J].中国妇幼保健，2018，33（20）：4773-4775.
[9]	葛伟平，刘艳生，刘红，等.腹腔镜高位骶韧带联合圆韧带悬吊术治疗子宫脱垂的临床效果分析[J].中国实用妇科与产科杂志，2017，33（4）：418-422.
[10]	周伟.腹腔镜下髂耻韧带悬吊术治疗子宫脱垂的临床分析[D].芜湖：皖南医学院，2017：10.
[11]	张青冬，汪萍萍.腹腔镜下不同手术方式治疗年轻子宫脱垂患者的有效性和安全性研究[J].海南医学，2016，27（22）：3675-3678.
[12]	杨莉.腹腔镜高位骶韧带悬吊术治疗子宫脱垂40 例的疗效[J].江苏医药，2016，42（13）：1480-1482.
[13]	陈晓霞.腹腔镜下子宫骶韧带高位悬吊术治疗子宫脱垂临床效果分析[J].山西医药杂志，2016，45（6）：663-665.
[14]	张俊，段丽君.腹腔镜高位骶韧带悬吊+圆韧带悬吊治疗中盆腔缺陷合并盆腔肿瘤的临床研究[J].中华肿瘤防治杂志，2018，25（S2）：113，115.
[15]	陆宝明，幸薇，庄丽珊，等.应用腹腔镜下高位宫骶韧带悬吊术治疗子宫脱垂[J].中国现代药物应用，2014，8（14）：71-72.
[16]	芦珍珍，王璐，栗浩然，等.腹腔镜下全子宫切除加髂耻韧带悬吊术治疗中盆腔器官脱垂的疗效分析[J].现代妇产科进展，2020，29（7）：522-526，530.
[17]	赵婷婷.腹腔镜阴道骶骨固定术与腹腔镜高位骶韧带悬吊术治疗盆腔器官脱垂的疗效观察[D].济南：山东大学，2019：7.
[18]	周亚丽，许红，廖红云，等.腹腔镜下全子宫切除同时高位骶韧带悬吊对预防术后盆腔脏器脱垂的意义[J].当代医学，2019，25（32）：85-88.