本文選題：中盆腔器官脫垂 + 骶骨固定術(shù)�。� 參考：《中國婦產(chǎn)科臨床雜志》2017年04期

【摘要】：目的探討腹腔鏡陰道骶骨固定術(shù)治療中盆腔器官脫垂合并陰道前后壁脫垂的治療效果。方法回顧性分析自2014年12月至2016年12月間因中盆腔器官脫垂和(或)伴陰道前后壁脫垂接受腹腔鏡陰道骶骨固定術(shù)的患者資料,共30例(研究組);選取同期因中盆腔脫垂和(或)伴陰道前后壁脫垂Ⅲ期行陰式全子宮切術(shù)或(和)陰道前后壁修補(bǔ)術(shù)的患者30例為對(duì)照組。所有入組患者盆腔器官脫垂定量分期法(POP-Q)≥Ⅲ期。比較兩組患者的圍術(shù)期及術(shù)后3個(gè)月和6個(gè)月隨訪情況,對(duì)手術(shù)效果進(jìn)行主客觀評(píng)價(jià)。結(jié)果兩組患者手術(shù)時(shí)間、術(shù)中出血量、術(shù)后住院時(shí)間比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后3、6個(gè)月,研究組均無復(fù)發(fā),對(duì)照組復(fù)發(fā)率分別為6.67%(2/30)和20.0%(6/30),3個(gè)月復(fù)發(fā)率比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05),6個(gè)月復(fù)發(fā)率比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論腹腔鏡陰道骶骨固定術(shù)對(duì)POP-Q在Ⅲ期以上的中盆腔器官脫垂合并陰道前后壁脫垂有良好的效果,術(shù)后不易復(fù)發(fā)。
[Abstract]:Objective to investigate the effect of laparoscopic vaginal sacrum fixation in pelvic organ prolapse with anterior and posterior vaginal wall prolapse. Methods from December 2014 to December 2016, the data of patients undergoing laparoscopic vaginal sacral fixation due to middle pelvic organ prolapse and / or anterior and posterior vaginal wall prolapse were retrospectively analyzed. A total of 30 cases (study group) were selected as control group, 30 patients underwent vaginal hysterectomy or / or vaginal anterior and posterior wall repair during the same period due to middle pelvic prolapse and / or prolapse of the anterior and posterior wall of vagina. All patients with pelvic organ prolapse were divided into stage 鈪，

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