腹腔镜骶骨阴道固定术临床疗效评价

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1、中文摘要新发SUI。5例术前排便困难或便秘，术后1个月内症状仍明显，其中3例在术后6个月缓解。术后新发便秘者2例(6．9％)，其中1例术后3月内缓解。1例术后性交不适，经心理疏导后缓解。总的主观治愈率86．2％(25／29)。随访期间，未见网片侵蚀、暴露、感染等并发症。结论：LSC是一种微创、安全、有效的手术方式，主、客观治愈率高，不仅能达到解剖学复位，还能显著改善患者症状、生活质量和性生活质量。手术关键词：腹腔镜骶骨阴道固定术；盆腔器官脱垂；手术疗效；腹腔镜英文摘要Evaluationonclinicaleffectivenessoflaparoscopicsacralcolp

2、opexyABSTRACTObjective：ToevNuatetheefficacyandsafetyoflaparoscopicsacralcolpopexy(LSC)intreatmentofpelvicorganprolapse(POP)．Methods：Theclinicaldataof29casesofseverePOPwhohadundergoneLSCbythesai／lephysicianintheSecondHospitalofHebeiMedicNUniversityfromNovember2008toFebruary2014wereanalyzedretr

3、ospectively．ThePelvicOrganProlapseQuantification(POP—Q)classificationWasusedtoevaluateanatomysituation．Theshort．formofPelvicFloorDistressInventory(PFDI一20)，PelvicFloorImpactQuestionnaire(PFIQ-7)andProlapse／UrinaryIncontinenceSexualQuestionnaire(PISQ-12)wereusedtoevaluatesymptoms，health—relate

4、dqualityoflife(HRQL)andsexualfunction．Patientswereassessedat1month，6monthsand12monthsaftersurgery，andthenyearly．Wecomparedthefollow-upresultswithpreoperativedata．Thedataaboutoperativetime，bloodlossandSOonwererecordedtocomprehensivelyevaluatethesurgicalsafetyandhospitalcostswererecordedtoevalu

5、ateeconomicburdenforpatiems．Results：Theaverageoperationtimewasof228．1+35．2minutes(range130～280minutes)，bloodlosswas120．0士76．0ml(range50—400m1)，twopostoperativepatients(6．9％，2／29)hadfeverwithtemperatureshigherthan38．5℃，postoperativehospitalizationtimewas4．94-1．1days(range4~5days)，timeofindwell

6、ingurinarycatheterwas3．04-1．1ddays(range2--7days)，totalcostofhospitalization22170．54-5410．3RMB．29patientswerefollowedupfor1to64months，withamedianfollow-uptimeof14．0months，theanatomicalresultsat6monthsshowedasignificantcorrection衅O．05)relativetothepreoperativevalues，onallpelvicfloorparametersm

7、easured．Thisimprovementremainedsignificantafter12months(火0．05)．ThereWasnodifferencebetweentheresultsobtainedat6monthsandthoseat】2monks．3英文摘要Postoperativelyallpatientshadgoodapicalanatomicsuppoa，butonepresented、析t11anteriorvaginalwallprolapseI