CAJ | 학술논문

目的初步探讨应用机器人手术系统行骶骨子宫固定术治疗子宫脱垂的临床疗效.方法回顾性分析2012年1月至2013年12月间在解放军总医院以机器人手术系统行骶骨子宫固定术治疗的3例子宫脱垂患者的临床资料.观察手术时间、术中出血量和术后恢复情况及排气时间.采用盆腔器宫脱垂定量(POP-Q)分度法评估术手术效果.结果 3例患者均在机器人手术系统下顺利完成骶骨子宫固定术,平均手术时间为221 min(210～240 min),术中平均出血量为45 ml.1例合并Ⅱ度会阴裂伤的患者同时行会阴修补术.术中、术后均未出现并发症,术后平均排气时间16 h.2例伴有尿动力学改变的患者术后症状明显改善.术后3个月随访主观满意率3/3,其中1例患者在术后第6个月开始出现咳嗽时少量漏尿,嘱其锻炼盆底肌功能及针灸治疗1个月后症状消失.结论机器人手术系统行骶骨子宫固定术为子宫脱垂患者提供了一种新的、有效的微创手术选择.
목적 초보탐토응용궤기인수술계통행저골자궁고정술치료자궁탈수적림상료효.방법 회고성분석2012년1월지2013년12월간재해방군총의원이궤기인수술계통행저골자궁고정술치료적3례자궁탈수환자적림상자료.관찰수술시간、술중출혈량화술후회복정황급배기시간.채용분강기궁탈수정량(POP-Q)분도법평고술수술효과.결과 3례환자균재궤기인수술계통하순리완성저골자궁고정술,평균수술시간위221 min(210～240 min),술중평균출혈량위45 ml.1례합병Ⅱ도회음렬상적환자동시행회음수보술.술중、술후균미출현병발증,술후평균배기시간16 h.2례반유뇨동역학개변적환자술후증상명현개선.술후3개월수방주관만의솔3/3,기중1례환자재술후제6개월개시출현해수시소량루뇨,촉기단련분저기공능급침구치료1개월후증상소실.결론 궤기인수술계통행저골자궁고정술위자궁탈수환자제공료일충신적、유효적미창수술선택.
Objective To study the clinical efficacy of robotic sacral hysteropexy in treatment of uterine prolapse.Methods From January 2012 to December 2013,3 patients undergoing robotic sacral hysteropexy in treatment of uterine prolapse in General Hospital of People's Liberation Army were studied retrospectively.Operation time,blood loss and postoperative recovery exhaust time and pelvic organ prolapse quantification (POP-Q) staging were evaluated.Results Three patients were treated by robotic sacral hysteropexy successfully.The mean operation time was 221 minutes (210-240 minutes),mean blood loss was 45 ml.One case with Ⅱ degree perineal laceration patients simultaneously perineal repair,neither intranor post-operative complications occurred.The mean postoperative recovery exhaust time was 16 hours.At three months of follow-up,all 3 patients got satisfaction.Although one patient at the first six months of postoperation had leakage of urine when coughing,instruct exercise pelvic floor muscle function and acupuncture one month their symptoms disappear.Conclusion Robotic sacral hysteropexy pave the way for an effective option in the management of uterine prolapse.