Clinical effects analysis of laparoscopic-assisted vaginal hysterectomy combined with bilateral iliopubic ligament suspension in the treatment of elderly patients with uterine prolapse
Objective To analyze the clinical effects of laparoscopic-assisted vaginal hysterectomy and bilateral iliopubic ligament suspension in the treatment of elderly patients with uterine prolapse.Methods A total of 76 elderly patients with uterine prolapse in Anqing First People's Hospital of Anhui Medical University were enrolled as the research subjects and were divided into observation group and control group by means of the random number table method,with 38 cases in each group.They were given laparoscopic-assisted vaginal hysterectomy combined with anterior and posterior vaginal wall repair,and laparoscopic-assisted vaginal hysterectomy combined with bilateral iliopubic ligament suspension respectively.The perioperative indicators,surgical efficacy,indicator points positions of pelvic organ prolapse quantitative staging(POP-Q),sexual function and vaginal vault prolapse condition before and after surgery were compared between the two groups.Results The surgical time,intraoperative blood loss,postoperative anal exhaust time and urinary indwelling catheter time in observation group were shorter or less than those in control group(P＜0.05).The total effective rate of treatment in observation group was higher compared with that in control group(P＜0.05).The indication points positions of POP-Q and female sexual function index(FSFI)scores of the two groups were improved at 3 months after surgery compared with those before surgery(P＜0.05),and the above indicators in observation group were better than in control group(P＜0.05).The incidence rate of vaginal vault prolapse in observation group within 6 months after surgery was lower than that in control group(P＜0.05).Conclusions Laparoscopic-assisted vaginal hysterectomy combined with bilateral iliopubic ligament suspension has an exact efficacy,small trauma and fast postoperative recovery in the treatment of elderly patients with uterine prolapse.
万方数据
维普
