| 吴迪.腹腔镜下高位宫骶韧带悬吊术治疗子宫脱垂的可行性与安全性分析[J].浙江中西医结合杂志,2015,25(1): |
| 腹腔镜下高位宫骶韧带悬吊术治疗子宫脱垂的可行性与安全性分析 |
| The Feasibility and Safety Analysis of Laparoscopic High Uterosacral Ligament Suspension Surgery Treated the Patients with Uterine Prolapse Wu di No.1 People"s Hospital of Hangzhou 310006 |
| 投稿时间：2014-05-19 修订日期：2014-11-10 |
| DOI： |
| 中文关键词: 腹腔镜 高位宫骶韧带悬吊术 子宫脱垂 |
| 英文关键词:Laparoscopic High uterosacral ligament suspension surgery Uterine prolapse |
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| 中文摘要: |
| 摘要 目的 探析腹腔镜下高位宫骶韧带悬吊术对治疗子宫脱垂的可行性与安全性。方法：从2011.10~2013.10月来我院治疗的子宫脱垂患者中抽取40例，应用腹腔镜下高位宫骶韧带悬吊术治疗。观察患者的临床治疗疗效。结果 手术后，有36例患者成功治愈，治愈率高达90.00%，其余4例患者病情有所好转。术中平均出血量为（82.1±20.5）ml，术后平均排气时间为（23.7±5.5）h，平均手术时间和住院时间分别为（71.0±16.8）min和（5.1±1.1）d。手术后盆腔器官脱垂定量分期（Pelvic organ prolapse quantification ,POP-Q）值较手术前均有所改善，且手术前后比较在P<0.05下差异具有统计学意义。结论 腹腔镜下高位宫骶韧带悬吊术可有效治疗子宫脱垂，该手术方法具有手术时间短、术中出血量少、治愈率高、微创简单等优点，值得临床推广应用。 |
| 英文摘要: |
| Objectives To research the feasibility and safety of laparoscopic high uterosacral ligament suspension surgery treated the patients with uterine prolapse.Methods During the time of October 2011 to October 2013, 40 patients with uterine prolapse in our hospital were selected and treated by laparoscopic high uterosacral ligament suspension surgery.To find out the treatment effects of them. Results There were 36 patients successfully cured of all the 40 patients and the cure rate of them was 90.00% and the other 4 patients were also get better after cured. The average amount of bleeding was (82.1±20.5)ml,the average discharge time after surgy was (23.7±5.5)h, and the mean operative time and hospital stay time were (71.0±16.8)min and (5.1±1.1)d.The pelvic organ prolapse quantification staging ofter surgy also get better than before surgy, and the results above were statistically significance while P<0.05.Conclusion It can treated the patients with uterine prolapse effectively by the may of laparoscopic high uterosacral ligament suspension surgery, which has the advantage of shorter operative time, less blood loss surgery, higher surgical cure rate and minimally invasive and deserved to be used in clinical. |
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