腹腔镜下骶前固定术治疗盆底功能障碍性疾病18例临床疗效分.docVIP

腹腔镜下骶前固定术治疗盆底功能障碍性疾病18例临床疗效分析 何英慧 刘桃 金凤斌 摘要：目的 分析腹腔镜下骶前固定术治疗以中盆腔缺陷为主的盆底功能障碍疾病的临床疗效，评价阴道骶前固定术的有效性及安全性。方法 18例盆底功能障碍患者采用腹腔镜下骶前固定术,观察术后治愈率及围手术期并发症发生情况。结果 术后随访6～12个月,应用POP-Q定量分度法及盆腔器官脱垂-尿失禁患者性生活调查问卷评价手术效果、患者术后性生活恢复及症状改善情况。术后治愈率达100%,均未发生术中及术后大出血、膀胱及直肠损伤;术后随访患者解剖结构得到成功恢复,其阴道断端距离处女膜最远点较术前减小（P〈0.05）;性生活恢复满意度与术前比较差异无统计学意义（P〉0.05）。结论 腹腔镜下骶前固定术是一种临床治疗效果确切，安全有效的治疗中盆腔缺陷为主的盆底功能障碍疾病的手术方式，短期疗效确切,长期疗效可待进一步观察。 关键词 盆底功能障碍性疾病；腹腔镜骶前固定术；疗效分析 Evaluation on clinical effectiveness of laparoscpic sacral colpopexy treatment of 18 cases pelvic floor dysfunction [Abstract] Objective: To study clinical curative effect and complications of laparoscopic sacral colpopexy in treatment of pelvic organ prolapse(POP) given priority to with middle pelvic cavity defects and evalute the efficacy and safety of this procedure.Methods: 18 cases of pelvic floor dysfunction were treated by laparoscopic sacral colpopexy, To observe the postoperative cure rate and perioperative complications occurred.Results：18 patients were followed up for 6 to 12 months. Application of POP - Q quantitative index method and pelvic organ prolapse incontinence patients sexual life questionnaire evaluate surgical effects, patients recovery of sex and symptoms improve. The overall cure rate was 100%.Neither case of intraoperative and postoperative bleeding, bladder and rectum injury. Anatomical structure of postoperative follow-up patients successfully restored, the distance of vaginal cuff end and hymen apoapsis reduced significantly than the preoperative(P〈0.05), sex life recovery satisfaction was no statistically significant difference compared with preoperative（P〉0.05）.Conclusion: Laparoscopic sacral colpopexy is a kind of operation method which clinical treatment effect is exact, safe and effective in the treatment of pelvic cavity defects is given priority to pelvic floor dysfunction disease, short-term curative effect, long-term efficacy can be further observed. Key words:Pelvic organ Prolapse; laparosco