摘要
目的初步探讨腹腔镜全子宫切除术后行阴道顶端悬吊重建盆底功能预防女性阴道穹隆脱垂的安全性和可行性,并进行近期疗效评价。方法自2002年10月~2007年6月该科共有858例患者行腹腔镜下子宫全切术,随机取606例为研究组,术中进行阴道顶端悬吊修复和重建盆底,并取252例为对照组行常规腹腔镜子宫全切术,比较术中术后的并发症,并随访手术后阴道穹隆脱垂和性生活等情况。结果所有患者手术均获得成功,术后恢复良好,术后住院时间4.2d(4~6d),平均随访44.2个月(6~54个月),研究组阴道穹隆脱垂率减少,性生活满意度增加,手术并发症和泌尿系异常情况无差异。结论应用腹腔镜下阴道顶端悬吊重建盆底预防子宫全切术后阴道穹隆脱垂安全可靠,患者耐受性好,近期疗效明显,长期疗效有待进一步观察。
[Objective] To observe the feasibility and safety of the vaginal vault sling operaton in the prevention of vault prolapse after laparoscopically total hysterectomy. [Methods] 858 women who underwent laparoscopically total hysterectomy surgery during 10.2002-6.2007 were analyzed. 606 of them were treated with vaginal vault sling operation at the same time as study group, and remaining 252 women as control group. The outcomes and complications after operation were analysed. The rate of vault prolapse and effe...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第9期955-957,共3页
China Journal of Endoscopy
关键词
腹腔镜子宫全切
盆底重建
阴道穹隆脱垂
laparoscopically total hysterectomy
reconstructive pelvic
vault prolapse