摘要
目的:探讨腹腔镜下Mesh盆内筋膜修复骶骨固定术治疗阴道穹隆脱垂伴膀胱和直肠膨出的临床效果。方法:对10例子宫脱垂和10例非子宫脱垂曾行子宫切除术后发生阴道穹隆脱垂患者进行腹腔镜下Mesh盆内筋膜修复骶骨固定术,记录手术时间、出血情况,随访手术效果,术前术后行POP-Q评价临床疗效。结果:20例患者平均年龄(58±10.24)岁,平均出血约(60±15.00)ml,手术操作时间:子宫脱垂组平均(148.6±17.54)min、非子宫脱垂组(121.5±16.35)min,无术中、术后并发症发生。随访6-10个月,主观大、小便功能改善。术后6个月性功能正常,未出现复发病例。结论:腹腔镜下Mesh盆内筋膜修复骶骨固定术是一种治疗穹隆脱垂伴有不同程度膀胱、直肠膨出的极有效术式,具有微创、安全的特点。
Objective： To explore the clinical effects of laparoscopic sacral colpopexy of vaginal vault prolapse after hysterectomy and pelvic fascia repair of bladder and rectum prolapse with mesh.Methods： There were two groups including 10 cases without uterine prolapse history and 10 cases with uterine prolapse history.The operation time,blood loss,complications and follow-up surgery results monthly were recorded and analyzed according to POP-Q system.Results： Mean age was（58.00±10.24） years.Operation time of uterine prolapse group was（148.6±17.54） min while that of another was（121.5 ±6.35） min.The former has longer operation time.Mean blood loss was（60±15） ml.There was no complications during and after operation.Subjective functions of urine,bowel and sexual activity improved significantly after operation.No prolapse recurred in 6 months follow-up.Conclusion： Laparoscopic sacral colpopexy of vaginal vault and pelvic fascia repair by mesh is a newly mini-traumatic,safe and effective surgery for vaginal vault,bladder and rectum prolapse.
出处
《武汉大学学报（医学版）》
CAS
2008年第4期542-544,556,共4页
Medical Journal of Wuhan University
关键词
腹腔镜
阴道穹隆脱垂
骶骨固定术
Laparoscopy
Vaginal Vault Prolapse
Sacral Colpopexy
