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目的探讨腹腔镜下子宫/阴道骶骨固定术治疗盆腔器官脱垂的治疗效果。方法抽取2013年4月—2015年1月郸城县人民医院接收的62例盆腔器官脱垂患者,根据手术方式不同分组,各31例。对照组采用改良全盆底重建术,研究组采用子宫/阴道骶骨固定术。统计两组客观治愈率、手术情况及盆底功能障碍评分、盆底功能影响评分变化情况。结果研究组客观治愈率为96.86%,对照组为71.86%,组间比较差异显著(P<0.05);研究组术中出血量及术后住院时间明显少于对照组,差异有统计学意义(P<0.05);治疗前两组盆底功能障碍评分、盆底功能影响评分对比差异无统计学意义(P>0.05),经治疗,研究组各项数据评分均较治疗前显著改善,且研究组显著优于对照组,差异有统计学意义(P<0.05)。结论采用子宫/阴道骶骨固定术治疗盆腔器官脱垂效果显著,可有效改善患者盆底功能,提高客观治愈率,且术中出血量、住院时间少,具有推广价值。
Objective To investigate the treatment of pelvic organ prolapse by laparoscopic uterus / vaginal sacral fixation. Methods Totally 62 patients with pelvic organ prolapse received from Dancheng County People’s Hospital from April 2013 to January 2015 were selected and divided into groups according to the operation method and 31 patients in each group. The control group with modified pelvic floor reconstruction, the study group by uterine / vaginal sacral fixation. The objective cure rate, operation status, pelvic floor dysfunction score and change of pelvic floor functional impact score were statistically analyzed. Results The objective cure rate was 96.86% in the study group and 71.86% in the control group, with significant difference between the two groups (P <0.05). The blood loss and postoperative hospital stay in the study group were significantly less than those in the control group P <0.05). There was no significant difference in pelvic floor dysfunction score and functional pelvic floor function score between the two groups before treatment (P> 0.05). After treatment, the score of each data group in the study group was significantly improved compared with that before treatment Group was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion The treatment of pelvic organ prolapse with uterus / vaginasulcus fixation is significant, which can effectively improve the pelvic floor function and improve the objective cure rate, and the intraoperative blood loss, less hospital stay, with the promotion of value.