经阴道前路骶棘韧带吊带固定术治疗盆腔器官脱垂的临床效果评价

Clinical effect of transvaginal anterior sacrospinous ligament suspensions fixation on the treatment of pelvic organ prolapse

摘要:

目的：探讨经阴道前路骶棘韧带吊带固定术在治疗前盆腔、中盆腔器官脱垂的临床疗效。方法：选择前盆腔、中盆腔脱垂Ⅱ度及以上且有临床症状、手术意愿的患者57例，进行经阴道前路骶棘韧带悬吊术。记录以上患者的年龄、手术时间、出血量、术前及术后的盆腔器官脱垂定量分度（pelvic organ prolapse quantitive examination，POP-Q）评分和盆底功能障碍问卷（pelvic floor distress inventory-short form 20，PFＤI-20）评分，并对以上指标进行分析。结果：患者平均手术时间为（57.70±21.42） min，平均出血量为（45.44±40.00） mL，患者术前与术后前壁两点Aa、Ba，顶部点C和PＦDI-20评分有统计学差异（P<0.05）。结论：经前路骶棘韧带吊带固定术是一种安全、有效的手术方式，能有效治疗前盆腔、中盆腔器官脱垂患者。

Abstract:

Objective：To evaluate the effect of transvaginal bilateral sacrospinous ligament suspensions fixation on treating anterior and middle pelvic organ prolapse. Methods：Fifty-seven patients with pelvic prolapse of degree Ⅱ or above who had clinical symptoms and surgical intention were selected and were underwent transvaginal bilateral sacrospinous ligament suspensions fixation. Patients’ age，operation time，bleeding volume，and pre- and post-operation POP-Q score and PFDI-20 score were recorded and were analyzed. Results：The average operation time was （57.70±21.42） min and the average blood loss was （45.44±40.00） mL. Scores of Aa，Ba，C and PFDI-20 before and after surgery had statistically significant differences（P<0.05）. Conclusion：Transvaginal anterior sacrospinous ligament suspensions fixation is a safe and effective method for treating patients with anterior and middle pelvic organ prolapse.