经阴道骶棘韧带悬吊治疗盆腔器官脱垂的疗效观察

doi:10.3969/j.issn.1671-7171.2020.02.016

Abstract
Figure/Table
References (14)
Related Citation (5)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To investigate the clinical effect of transvaginal sacrospinous ligament suspension and pelvic funnel ligament suspension in the treatment of pelvic organ prolapse.【Methods】A total of 47 patients with pelvic organ prolapse (POP) treated in our hospital from January 2016 to November 2018 were selected and divided into the observation group (n=27) and the control group (n=20) according to the selected surgical scheme. Patients in the observation group were treated with vaginal sacrospinous ligament suspension, while patients in the control group were treated with pelvic funnel ligament suspension. The operation time and bleeding volume were recorded. All patients underwent POP-Q measurement at 3 months after operation. In the measurement, Ba referred to the anterior wall of the vagina at a distance of 3 cm from the edge of the hymen, C referred to the stump of the vagina and Bp referred to the reflex of the vaginal fornix and the stump of the vagina to the midline of the vaginal hymen. The pelvic floor dysfunction questionnaire-20 (PFDI-20) and the pelvic organ prolapse/urinary incontinence sexual questionnaire-12 (PISQ-12) were used to evaluate the quality of life and sexual life of patients.【Results】The operation time, intraoperative bleeding volume and indwelling time of urinary catheter in the observation group were (64.02±13.22) min, (87.20±12.23) ml and (87.92 ±12.21) h, irrespectively, which were significantly shorter than those in the control group (P<0.05). Ba, C, and Bp in the observation group and the control group were improved at 3 months after surgery (P<0.05), however, there was no significant difference in Ba, C, and Bp at 3 months after surgery in the two groups (P> 0.05). One year after operation, the PDFI-20 score of the observation group was (20.03±2.19), which was significantly lower than that of the control group (P<0.05); while the PISQ-12 score was (43.30±5.10), which was significantly higher than that of the control group (P<0.05). There was no significant difference in the incidence of complications between the observation group and the control group (P>0.05); No recurrence occurred during the follow-up period in the observation group and the control group.【Conclusion】Transvaginal sacrospinous ligament suspension has significant curative effect on pelvic organ prolapse. It can reduce the operation time and the amount of intraoperative bleeding, and improve the quality of patients' lives and sexual life, which is worthy of clinical promotion and application.

Key words： Uterine Prolapse/SU Visceral Prolapse/SU

Received: 11 January 2019

PACS:

R711.23

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Hong

Cite this article:

CHEN Hong. Effect of Transvaginal Sacrospinous Ligament Suspension on Pelvic Organ Prolapse[J]. JOURNAL OF CLINICAL RESEARCH, 2020, 37(2): 213-215.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2020.02.016 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2020/V37/I2/213

[1] 熊海珍, 温道清. 经阴道骶棘韧带悬吊术治疗盆底脱垂的疗效研究[J]. 中国全科医学, 2016,18(12):171-173.
[2] 贺利霞, 杨艳秋. 经会阴二维超声动态观察POP患者盆底器官的位置及运动情况[J].医学临床研究, 2018, 35(8):1636-1637.
[3] 谢庆煌, 陈永连, 柳晓春,等. 骶主韧带复合体-耻骨阴道肌交叉缝合联合骶棘韧带悬吊术治疗重度POP48例分析[J].中国实用妇科与产科杂志, 2016,18(4):347-352.
[4] 贾艳红, 孟利平, 吴敏. kegel训练联合低频脉冲反馈电刺激治疗盆底功能障碍的疗效观察[J].医学临床研究, 2016, 33(5):1001-1004.
[5] 高瑜, 黄海伟. 阴道前壁黏膜瓣自体悬吊术对盆腔脏器脱垂患者盆底功能改善的影响[J].中国妇幼保健, 2017, 32(9):2030-2032.
[6] 张欣蔚, 邹晓锋, 张振东,等. 腹腔镜下子宫骶骨固定术与骶棘韧带悬吊术治疗中盆腔脱垂的临床评价[J].贵州医药, 2017, 41(4):402-403.
[7] Juliato CRT, Mazzer MFG, Diniz JM,et al.Sacrospinous ligament suspension with transobturator meshversussacral colpopexy for genital prolapse[J].Clinics,2016, 71(9):487-493.
[8] 石杨杨, 彭程, 申震,等. 腹腔镜下阴道残端补片悬吊术治疗盆腔脏器脱垂22例临床分析[J].中国妇产科临床杂志, 2018,18(1):30-32.
[9] Chen Y, Hua K. Medium-term outcomes of laparoscopic sacrocolpopexy or sacrohysteropexy versus vaginal sacrospinous ligament fixationfor middle compartment prolapse[J].Int J Gynecol Obstet,2017, 137(2):164-169.
[10] 汪祎然, 曹生鲁, 凌伟,等. 正常人骨盆骶棘韧带的解剖学及MRI成像研究[J].中国临床解剖学杂志, 2016, 34(3):263-267.
[11] Li C, Dai Z, Shu H. Laparoscopic inguinal ligament suspension versus laparoscopic sacrocolpopexy in the treatment of pelvic organ prolapse: study protocol for a randomized controlled trial[J].Trials,2018, 19(1):160.
[12] 李欢, 张顺仓, 安旭琢,等. 腹腔镜下子宫骶前筋膜悬吊术治疗盆腔脏器脱垂的临床疗效分析[J].现代生物医学进展, 2017,18(33):6518-6522.
[13] 刘华英, 徐应利, 钱春枝,等. 腹腔镜联合经阴道子宫悬吊术加阴道壁桥式修补术治疗盆腔脏器脱垂92例[J].中国临床保健杂志, 2017, 20(3):311-312.
[14] 朱念念. 腹壁自体筋膜盆底悬吊术与腹腔镜下子宫颈悬吊术治疗盆底器官脱垂的疗效观察[J].腹腔镜外科杂志, 2017, 22(4):288-291.