文档介绍:改良腹腔镜子宫骶骨固定术治疗子宫脱垂的临床研究
濮阳市油田总医院妇产科河南濮阳 457001
摘要:目的探讨改良腹腔镜子宫骶骨固定术治疗子宫脱垂的临床效果。方法对28例POP-Q分度达II-III度较年轻的中盆腔缺陷患者行改良腹腔镜子宫骶骨固定术,术中应用长方形合成网片,一端固定于子宫骶韧带起始部,一端固定于第一骶椎前纵韧带,不分离子宫直肠间隙及子宫膀胱间隙。结果 28例手术全部顺利完成,平均出血量25±;平均手术时间126±34min;无术中并发症发生,所有患者随访至今未见不适。结论改良手术方式大大简化了手术步骤,减少了创伤,缩短了手术时间,但患者临床治愈率较复杂术式无下降。该改良术式安全、有效,简便易学,适合希望保留子宫的患者。
关键词:腹腔镜;改良;子宫脱垂;子宫骶骨固定;网片
【Abstract】 Objective To investigate possibility and effect of improved laparoscopic uterine sacral fixation in the treatment of uterine 28 cases of POP-Q according to the index II and III younger patients with middle pelvic defects underwent improved laparoscopic uterine sacral fixation,using rectangle polypropylene mesh,one end of mesh fixed in the initial part of uterosacral ligament,the other end fixed to the first sacral vertebra anterior longitudinal ligament,no separation of vesicovaginal and retctovaginal All procedures were mean blood loss was 25±,and the mean operating time was 126±34min;No plications,all patients were not fort followed up to The improved operation greatly simplifies steps,with less trauma and shorten operation time,but the effect of operation is sill paring plex improved operation is effective,safe,and simple to may be an appropriate procedure for women with uterine prolapse hoping for
ut