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目的探讨改良阴式骶棘韧带固定术治疗女性盆腔脏器脱垂的临床效果。方法选择2011年1月—2012年12月收治的子宫脱垂和阴道穹隆脱垂患者70例,随机分为对照组和观察组各35例,对照组给予传统的阴式子宫全切+双附件切除+阴道前后壁修补术,观察组行改良阴式骶棘韧带固定术,比较两组平均手术时间、平均失血量、平均住院时间、尿管引流时间和不良反应发生情况。计量资料采用t检验,P<0.05为差异有统计学意义。结果平均手术时间对照组(143.87±5.74)min,观察组(85.63±3.87)min;平均失血量对照组(290.74±22.51)ml,观察组(154.00±17.43)ml;平均住院时间对照组(11.46±3.75)d,观察组(6.45±2.19)d;尿管引流时间对照组(3.46±1.04)d,观察组(1.63±0.72)d。两组比较差异均有统计学意义(t=50.253、28.415、6.825、8.559,均P<0.05)。尿潴留、尿失禁与性交困难、疼痛对照组分别为5、8例,观察组分别为0、0例。结论改良阴式骶棘韧带固定术治疗子宫脱垂及阴道顶端脱垂安全、简单、有效,值得临床推广使用。
Objective To investigate the clinical effect of modified vaginal sacrospinous ligament fixation for female pelvic organ prolapse. Methods Seventy patients with uterine prolapse and vaginal vault prolapse admitted from January 2011 to December 2012 were randomly divided into control group and observation group of 35 cases each. The control group was given conventional vaginal hysterectomy + double attachment Removal + vaginal anterior and posterior wall repair, observation group improved vaginal sacrospinous ligament fixation, the average operation time, mean blood loss, average length of stay, catheter drainage time and adverse reactions were compared. Measurement data using t test, P <0.05 for the difference was statistically significant. Results The mean operative time was (143.87 ± 5.74) min in the observation group (85.63 ± 3.87) min, the mean blood loss was 290.74 ± 22.51 in the control group (154.00 ± 17.43) ml, the average length of stay in the control group was 11.46 ± 3.75) d, the observation group (6.45 ± 2.19) d; the catheter drainage time control group (3.46 ± 1.04) d, the observation group (1.63 ± 0.72) d. The differences between the two groups were statistically significant (t = 50.253,28.415,6.825,8.559, all P <0.05). Urinary retention, urinary incontinence and sexual intercourse difficulties, pain control group were 5,8 cases, the observation group were 0,0 cases. Conclusion Improved vaginal sacrospinal ligament fixation for the treatment of uterine prolapse and vaginal prolapse safety, simple and effective, worthy of clinical promotion and use.