CAJ | 학술논문

目的：探讨阴道子宫骶骨韧带高位悬吊术（ HUS）治疗重度盆腔器官脱垂的效果。方法以我院2011-01～2013-01间收治的80例重度盆腔器官脱垂患者为研究对象，随机分为观察组与对照组，观察组使用HUS进行治疗，对照组使用腹腔镜高位宫骶韧带悬吊术进行治疗，比较两组患者临床治疗效果、手术效果、术后并发症发生率及生活质量之间的差异。结果观察组患者临床治疗效果优于对照组，手术时间和住院时间少于对照组，术后并发症发生率低于对照组，生活质量高于对照组，其差异均有统计学意义（ P＜0.05）。结论 HUS可以在重度盆腔器官脱垂的治疗中起到积极作用，可提高临床治疗效果、降低术后并发症、改善患者生活质量。
목적：탐토음도자궁저골인대고위현조술（ HUS）치료중도분강기관탈수적효과。방법이아원2011-01～2013-01간수치적80례중도분강기관탈수환자위연구대상，수궤분위관찰조여대조조，관찰조사용HUS진행치료，대조조사용복강경고위궁저인대현조술진행치료，비교량조환자림상치료효과、수술효과、술후병발증발생솔급생활질량지간적차이。결과관찰조환자림상치료효과우우대조조，수술시간화주원시간소우대조조，술후병발증발생솔저우대조조，생활질량고우대조조，기차이균유통계학의의（ P＜0.05）。결론 HUS가이재중도분강기관탈수적치료중기도적겁작용，가제고림상치료효과、강저술후병발증、개선환자생활질량。
Objective To analyze the effect of high vaginal uterosacral ligament suspension ( HUS) in the treatment of the severe pelvic organprolapse.Methods 80patientswithseverepelvicorganprolapseweredividedintotheobservationgroupandthecontrolgroup.The laparoscopy uterosacral ligament suspension was used in the control group , and HUS was used in the observation group.The differences of clinical effect , operation degree , the incidence of complications and the life quality between the two groups were compared.Results The clinical effect and operation degree in the objective group were better than that in the control group .The incidence of complications of the objective group was lower than the ones of control group.The life quality of the observation group was better , with statistical significance ( P<0.05 ).Conclusion High vaginal uterosacral ligament suspension would get a satisfactory effect in the treatment of the severe pelvic or -gan prolapse , with better clinical effect , less complications and higher level of life quality.