武警医学
武警醫學
무경의학
Medical Journal of the Chinese People's Armed Police Forces
2015年
9期
920-922,925
,共4页
阴道骶韧带悬吊术%腹式全子宫切除术%盆腔脏器脱垂
陰道骶韌帶懸弔術%腹式全子宮切除術%盆腔髒器脫垂
음도저인대현조술%복식전자궁절제술%분강장기탈수
vaginal uterosacral ligament suspension%abdominal hysterectomy%pelvic organ prolapse
目的：评价骶韧带悬吊术在预防腹式子宫全切术后盆底功能障碍的效果。方法选择2012－01至2013－06住院的符合子宫全切术指征的良性疾病且子宫体积≥12孕周患者84例，随机分为两组，每组42例。单纯组为单纯腹式子宫全切术，联合组为腹式子宫全切术加骶韧带悬吊术。比较术后6、12个月阴道长度以及脏器脱垂及其程度、压力性尿失禁等情况。结果术后6、12个月联合组阴道长度分别为（7．72±1．76）cm、（8．13±1．46）cm，均长于单纯组（6．91±1．40）cm、（6．74±1．74）cm。术后12个月联合组发生压力性尿失禁者1例，单纯组8例，两组存在统计学差异（P＝0．029）。术后12个月联合组患者发生膀胱膨出者2例，单纯组9例，两组存在统计学差异（P＝0．048）。结论阴道骶韧带悬吊术可预防腹式子宫全切术后的盆底功能障碍。
目的：評價骶韌帶懸弔術在預防腹式子宮全切術後盆底功能障礙的效果。方法選擇2012－01至2013－06住院的符閤子宮全切術指徵的良性疾病且子宮體積≥12孕週患者84例，隨機分為兩組，每組42例。單純組為單純腹式子宮全切術，聯閤組為腹式子宮全切術加骶韌帶懸弔術。比較術後6、12箇月陰道長度以及髒器脫垂及其程度、壓力性尿失禁等情況。結果術後6、12箇月聯閤組陰道長度分彆為（7．72±1．76）cm、（8．13±1．46）cm，均長于單純組（6．91±1．40）cm、（6．74±1．74）cm。術後12箇月聯閤組髮生壓力性尿失禁者1例，單純組8例，兩組存在統計學差異（P＝0．029）。術後12箇月聯閤組患者髮生膀胱膨齣者2例，單純組9例，兩組存在統計學差異（P＝0．048）。結論陰道骶韌帶懸弔術可預防腹式子宮全切術後的盆底功能障礙。
목적：평개저인대현조술재예방복식자궁전절술후분저공능장애적효과。방법선택2012－01지2013－06주원적부합자궁전절술지정적량성질병차자궁체적≥12잉주환자84례，수궤분위량조，매조42례。단순조위단순복식자궁전절술，연합조위복식자궁전절술가저인대현조술。비교술후6、12개월음도장도이급장기탈수급기정도、압력성뇨실금등정황。결과술후6、12개월연합조음도장도분별위（7．72±1．76）cm、（8．13±1．46）cm，균장우단순조（6．91±1．40）cm、（6．74±1．74）cm。술후12개월연합조발생압력성뇨실금자1례，단순조8례，량조존재통계학차이（P＝0．029）。술후12개월연합조환자발생방광팽출자2례，단순조9례，량조존재통계학차이（P＝0．048）。결론음도저인대현조술가예방복식자궁전절술후적분저공능장애。
Objective To evaluate the effect of sacral ligament suspension on the prevention of pelvic floor dysfunction after total abdominal hysterectomy .Methods Eighty-four cervical cancer patients in the hospital from January 2012 to June 2013 undergo-ing total hysterectomy were enrolled into this study and divided into abdominal hysterectomy group ( control group ) and abdominal hys-terectomy plus uterosacral ligament suspension surgery ( combined group ) .We compared the postoperative vaginal length , sexual satis-faction, organ prolapse and degree , and stress urinary incontinence after 6 and 12 months.Results 6 and 12 months after the opera-tion, in total abdominal hysterectomy with sacral suspensory ligament group , vaginal lengths were (7.72 ±1.76)cm ,(8.13 ±1.46) cm, longer than in total abdominal hysterectomy group (6.91 ±1.40)cm,(6.74 ±1.74)cm.12 months after surgery, in combination group of patients, stress urinary incontinence occurred in 1 case, in simple group 8 cases, with a significant difference (P=0.029). 12 months after surgery, in combination group of patients, bladder bulging occurred in 2 cases, in simple group of 9 cases, with a sig-nificant difference (P=0.048).Conclusions Vaginal uterosacral ligament suspension can prevent pelvic floor dysfunction after ab -dominal hysterectomy .
