经阴道骶棘韧带固定术治疗子宫脱垂的疗效分析.docVIP

经阴道骶棘韧带固定术治疗子宫脱垂的疗效分析 　　【摘 要】目的：观察经阴道骶棘韧带固定术（SSLF）治疗子宫脱垂的临床疗效。方法：33例子宫脱垂患者患者随机分为两组，研究组采用经阴道骶棘韧带固定术，对照组采用腹腔镜高位宫骶韧带悬吊术，对比两组的手术时间、出血量、治疗效果及尿道感染的发生率、住院费用。术后随访对比两组子宫脱垂的复发率、术后症状。结果 ：在手术时间、术中出血量、治疗有效率、尿道感染发生率、1年复发率及随访症状方面，两组之间比较差异无统计学意义（P0.05），在住院费用方面VSSLF比腹腔镜下骶棘韧带固定术低（P0.05）。结论：对子宫脱垂这种疾病，经阴道的骶棘韧带固定术和腹腔镜高位宫骶韧带悬吊术这两种术式都能达到较好效果，而VSSLF经济、简易，器械要求不高，值得推广。 　　【关键词】骶棘韧带固定术；子宫脱垂； 腹腔镜高位宫骶韧带悬吊术 　　Lymphocyte active immune joint muscle injection of progesterone and HCG treatment efficacy analysis of 　　recurrent miscarriage 　　Huang Min，Huang Bin，Liang Qi，Peng Ling，Wu Hui Fang，Li Yan Fang， 　　Gong cui Hua， Long Yue Qiu，Long Li Qin，Chen Rui 　　He Zhoushi people’s hospital of guangxi Province， He Zhou 542899 ，guangxi，China 　　[Abstract] objective To observe the effect of Transvaginal Sacral Spine Ligament Fixation （SSLF） to uterine prolapse. Methods 33 patients with uterine prolapse patients were randomly divided into two groups， the treatment group using SSLF， and the control group using laparoscopic sacral high palace ligament suspension. Compared the operation time， blood loss， treatment effect and the incidence of urinary tract infections， hospitalization expenses between the two groups . Compared the postoperative follow-up recurrence， postoperative symptoms of uterine prolapse between the two groups. Results There were no statistical significance between two groups on the operation time， amount of bleeding， treatment effects， urethral infection and recurrence rate （P0.05），. And VSSLF was lower than that of control group advantage（P0.05）. Conclusion Both transvaginal laparoscopic sacral spine ligament fixation and high palace sacral ligament suspension for uterine prolapse can achieve good results， and VSSLF is worth promoting for lower expenses， simpler. 　　[Key words] Sacrospinous ligament fixation； Uterine prolapse； High uterosacral ligament suspension 　　子宫脱垂（uterus prolapse，UP） ，是指子宫从正常位置下降，宫颈外口沿着阴道可在坐骨棘水平以下，甚至子宫全部都脱出于阴道口外，常常伴有阴道的前壁和后壁的脱垂以及张力性尿失禁，是中老年阶段常见的妇科疾病，对女性患者的身体健康