王晓巍

【摘要】 目的：探究腹腔鏡下腹膜外子宫悬吊术在子宫脱垂患者中的应用价值。方法：选取2018年2月-2020年6月的110例子宫脱垂患者为研究对象，将其根据手术方式的不同分为经阴道骶棘韧带悬吊术组（对照组）和腹腔镜下腹膜外子宫悬吊术组（观察组），每组55例。比较两组临床效果、胃肠功能恢复时间、手术前后的VAS评分、POP-Q分期及胃肠激素水平、并发症发生情况。结果：观察组治疗3、6个月后临床总有效率均显著高于对照组，胃肠功能恢复时间均显著短于对照组，差异均有统计学意义（P<0.05）。两组术前VAS评分、POP-Q分期及胃肠激素水平比较，差异均无统计学意义（P>0.05）;观察组术后1、3 d的VAS评分均显著优于对照组，差异均有统计学意义（P<0.05）;观察组术后3、6个月的POP-Q分期均显著优于对照组，差异均有统计学意义（P<0.05）。观察组并发症发生率显著低于对照组，差异有统计学意义（P<0.05）。结论：腹腔镜下腹膜外子宫悬吊术在子宫脱垂患者中的应用效果较好，且对机体不良影响相对较小，因此在子宫脱垂患者中的应用价值较高。

【关键词】 腹腔镜 腹膜外子宫悬吊术 子宫脱垂

Investigation on Application Value of Laparoscopic Extraperitoneal Uterine Suspension in Patients with Uterine Prolapse/WANG Xiaowei. //Medical Innovation of China， 2021， 18（33）： -164

[Abstract] Objective： To investigate the application value of laparoscopic extraperitoneal uterine suspension in patients with uterine prolapse. Method： A total of 110 patients with uterine prolapse from February 2018 to June 2020 were chosen as the research objects， and they were divided into transvaginal suspension of sacrospinal ligament group （the control group） and laparoscopic extraperitoneal uterine suspension group （the observation group）， 55 cases in each group. The clinical effect， recovery time of gastrointestinal function， VAS score before and after operation， POP-Q stage， gastrointestinal hormone level and incidence of complications were compared between the two groups. Result： The clinical effective rates of the observation group after 3 and 6 months of treatment were significantly higher than those of the control group， the recovery time of gastrointestinal function were significantly shorter than those of the control group， there were statistically significant differences （P<0.05）. The VAS score， POP-Q stage and gastrointestinal hormones of two groups before operation were compared， there were no statistically significant differences （P>0.05）; VAS scores of observation group 1 and 3 days after operation were significantly better than control group， the differences were statistically significant （P<0.05）; the POP-Q staging of the observation group were significantly better than those of the control group at 3 and 6 months after surgery， the differences were statistically significant （P<0.05）. The complication rate of the observation group was significantly lower than that of the control group， there was statistically significant difference （P<0.05）. Conclusion： The application effect of laparoscopic extraperitoneal uterine suspension in patients with uterine prolapse is better， and its bad influence for the body is relatively smaller， so its application value in patients with uterine prolapse is higher.

[Key words] Laparoscopic Extraperitoneal uterine suspension Uterine prolapse

First-author’s address： Liaoning Provincial Maternal and Child Health Care Hospital， Liaoning Women’s and Children’s Hospital， Shenyang 110000， China

doi：10.3969/j.issn.1674-4985.2021.33.039

子宫脱垂可由多种因素导致，对患者的日常生活及生存质量状态造成极为不良的影响。本类患者可表现为腹部下坠、腰酸、排尿异常等多种不良情况，是亟待改善与治疗的疾病之一[1-2]。临床中对子宫脱垂的治疗方案较多，其中手术是常见的治疗方式之一。临床中关于不同手术方式治疗子宫脱垂的研究可见，其中腹腔镜下腹膜外子宫悬吊术是常见的手术方式之一[3-5]，但是其细致的效果与作用研究存在欠缺。……