中外医疗2024,Vol.43Issue(9) :1-4,10.DOI:10.16662/j.cnki.1674-0742.2024.09.001

腹腔镜髂耻韧带悬吊术、骶韧带悬吊术治疗盆腔器官脱垂的对照研究

Comparative Study of Laparoscopic Iliopectineal Ligament Suspension and Sacral Ligament Suspension in the Treatment of Pelvic Organ Pro-lapse

林瑞莲 彭燚琼 解斐 黄文蓉
中外医疗2024,Vol.43Issue(9) :1-4,10.DOI:10.16662/j.cnki.1674-0742.2024.09.001

腹腔镜髂耻韧带悬吊术、骶韧带悬吊术治疗盆腔器官脱垂的对照研究

Comparative Study of Laparoscopic Iliopectineal Ligament Suspension and Sacral Ligament Suspension in the Treatment of Pelvic Organ Pro-lapse

林瑞莲 1彭燚琼 1解斐 1黄文蓉1
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作者信息

  • 1. 龙岩市第二医院妇科,福建龙岩 364000
  • 折叠

摘要

目的 探讨盆腔器官脱垂患者经腹腔镜髂耻韧带悬吊术、骶韧带悬吊术治疗后,盆腔器官脱垂量化测量值、生活质量等的差异性.方法 方便选取2021年9月—2023年1月在龙岩市第二医院就诊的41例盆腔器官脱垂患者为研究对象,按随机数表法分观察组(髂耻韧带悬吊术组)21例和对照组(骶韧带悬吊术组)20例.比较两组患者的手术时间、术中出血量及术后6个月盆腔器官脱垂量化测量值等指标.结果 观察组患者的手术时间为(72.34±9.20)min,住院时间为(5.46±0.52)d,均短于对照组的(85.50±13.16)min、(6.63±0.70)d,差异有统计学意义(t=3.726、6.096,P均<0.05).术后6个月,观察组患者的盆腔器官脱垂量化测量值、盆底障碍影响简易问卷-7评分和盆底功能障碍问卷简表-20评分低于对照组,盆腔器官脱垂/尿失禁性功能问卷表-12评分高于对照组,差异有统计学意义(P均<0.05).结论 与骶韧带悬吊术相比,髂耻韧带悬吊术能够缩短盆腔器官脱垂患者的手术时间、住院时长,改善生活质量.

Abstract

Objective To investigate the difference of quantitative measurement value and quality of life in patients with pelvic organ prolapse treated by laparoscopic iliopectineal ligament suspension and sacral ligament suspension.Methods A total of 41 patients hospitalized in the Gynecology Department of Longyan Second Hospital from Septem-ber 2021 to January 2023 were conveniently selected as the study objects and were divided into observation group(il-iopectineal ligament suspension group)with 21 cases and control group(sacral ligament suspension group)with 20 cases according to random number table method.The operation time,intraoperative blood loss and quantitative mea-surement of pelvic organ prolapse 6 months after operation were compared between the two groups.Results The opera-tion time[(72.34±9.20)min]and hospitalization time[(5.46±0.52)d]in the observation group were shorter than those in the control group(85.50±13.16)min and(6.63±0.70)d,and the differences were statistically significant(t=3.726,6.096,both P<0.05).At 6 months after operation,the quantitative measurement of pelvic organ prolapse,Pelvic Floor Impact Questionnaire Short Form 7 and Pelvic Floor Distress Inventory Short Form 20 scores in observation group were lower than those in control group,and the differences were statistically significant(all P<0.05).The score of Pel-vic Organ Prolapse/Urinary Incontinence Function Questionnaire-12 in observation group was higher than that of con-trol group,and the difference was statistically significant(P<0.05).Conclusion Comparing with sacral ligament sus-pension,iliopectineal ligament suspension is significantly better for patients with pelvic organ prolapse in terms of shortening operation time,length of hospital stay and improving quality of life.

关键词

盆腔器官脱垂/髂耻韧带悬吊术/骶韧带悬吊术

Key words

Pelvic organ prolapse/Iliopectineal ligament suspension/Sacral ligament suspension

引用本文复制引用

出版年

2024
中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
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