【摘要】：目的探討腹腔鏡后路骶棘韌帶懸吊術(shù)(laparoscopic posterior approach sacrospinous ligament suspension,LPASLS)治療盆腔器官脫垂(pelvic organ prolapse,POP)的安全性和可行性。方法回顧性分析2016年11月~2017年7月9例LPASLS治療盆腔器官脫垂的臨床資料。7例為POP-Q分度Ⅲ度,2例為網(wǎng)片懸吊術(shù)后并發(fā)癥。主觀治愈定義為術(shù)后患者無任何自覺癥狀;客觀治愈定義為術(shù)后盆腔器官脫垂POP-Q分度為0度。結(jié)果腹腔鏡后路骶棘韌帶懸吊術(shù)均順利完成,其中7例同時(shí)行全子宮切除,8例行陰道前壁修補(bǔ),1例行陰道后壁修補(bǔ),3例行會(huì)陰修補(bǔ)。手術(shù)時(shí)間90~140(117.8±20.0)min。術(shù)中出血30~100(54.9±24.2)ml。術(shù)中并發(fā)癥3例,包括1例乙狀結(jié)腸漿肌層損傷,1例膀胱漿肌層損傷,1例盆底血管損傷。術(shù)后5例骶尾部疼痛不適感,均在3~4天自行緩解。術(shù)后隨訪1~8(4.3±2.1)月,主觀治愈率和客觀治愈率均為100%(9/9)。結(jié)論對于盆腔器官脫垂,腹腔鏡后路骶棘韌帶懸吊術(shù)是安全、可行的。
[Abstract]:Objective to investigate the safety and feasibility of laparoscopic posterior sacrospinous ligament suspension (laparoscopic posterior approach sacrospinous ligament suspension,LPASLS) in the treatment of pelvic organ prolapse (pelvic organ prolapse,POP). Methods the clinical data of 9 cases of pelvic organ prolapse treated with LPASLS from November 2016 to July 2017 were retrospectively analyzed. 7 cases were classified as 鈪，

本文編號(hào)：2412007