[1]王焱,魏敏.腹腔镜下全子宫切除联合宫骶韧带缩短缝合术治疗围绝经期子宫脱垂患者的效果分析[J].徐州医科大学学报,2020,40(09):669-672.
　Discussion on the therapeutic effect of laparoscopic total hysterectomy combined with hysterosacral ligament shortening in treatment of uterine prolapse patients of perimenopausal period[J].Journal of Xuzhou Medical University,2020,40(09):669-672.
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腹腔镜下全子宫切除联合宫骶韧带缩短缝合术治疗围绝经期子宫脱垂患者的效果分析()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
40
期数:
2020年09期
页码:
669-672
栏目:
出版日期:
2020-09-25

文章信息/Info

Title:
Discussion on the therapeutic effect of laparoscopic total hysterectomy combined with hysterosacral ligament shortening in treatment of uterine prolapse patients of perimenopausal period
作者:
王焱; 魏敏
文献标志码:
A
摘要:
目的 分析腹腔镜下全子宫切除联合宫骶韧带缩短缝合术治疗围绝经期子宫脱垂患者的临床疗效。方法 选取从2017年1月至2019年12月徐州医科大学附属医院收治的40～60岁围绝经期子宫脱垂患者共30例，均采用腹腔镜下全子宫切除联合宫骶韧带缩短缝合术治疗，以患者的主观症状、POP-Q测量、中文版健康调查简表（SF-36）、盆底不适调查表短表20（PFDI-20）及盆腔器官脱垂－尿失禁性生活问卷31（PISQ-31）比较患者手术前和术后6个月的性生活满意度和生活质量评分。结果 患者术后6个月，除阴道总长度（TVL）外，其余POP-Q各点的值均较术前有统计学差异（P＜0.05）；术后6个月的SF-36评分、PFDI-20评分及PISQ-31评分较术前有明显改善，差异有统计学意义（P＜0.05），患者生活质量和性生活满意度明显改善。结论 腹腔镜下全子宫切除联合宫骶韧带缩短缝合术治疗围绝经期子宫脱垂效果显著，可明显改善患者的性生活满意度，提高患者的生活质量，此术式值得临床应用与推广。
Abstract:
ob＜x＞jective To evaluate the therapeutic effect of laparoscopic total hysterectomy combined with hysterosacral ligament shortening in treatment of uterine prolapse patients of perimenopausal period. Methods 30 perimenopausal period patients aged 40 to 60 with uterine prolapse underwent laparoscopic total hysterectomy combined with hysterosacral ligament shortening from January 2017 to December 2019 in Affiliated Hospital of Xuzhou Medical University.Pre and postoperative symptoms,pelvic organ prolapse quantitive examination (POP-Q),the MOS item short from health survey（SF-36），pelvic floor distress inventory-short form 20（PFDI-20）and pelvic organ prolapse /incontinence sexual function questionnaire 31(PISQ-31)measurements were used to assess quality of life and sexual life satisfaction.Results The POP-Q were better 6 months postoperatively than preoperative except total vaginal length(TVL).The difference were statistically significant（P＜0.05）.The SF-36 scores,PFDI-20 scores and PISQ-12 scores were better 6 months postoperatively than preoperative.The difference were statistically significant（P＜0.05）.Conclusions The therapeutic effect of laparoscopic total hysterectomy combined with hysterosacral ligament shortening in treatment of uterine prolapse patients of perimenopausal period was significant.HUS improved quality of life and sexual life satisfaction,which is worthy of clinical application and promotion.
更新日期/Last Update: 2020-10-12