腹腔镜改良子宫悬吊术治疗子宫脱垂的效果观察被引量：11

Analysis of laparoscopic modified ventrifixation in treating famale uterine prolaps

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摘要目的探讨腹腔镜改良子宫悬吊术治疗子宫脱垂的安全性和有效性。方法将2008年1月至2012年6月秦皇岛市第一医院及北京安贞医院收治的子宫脱垂Ⅱ～Ⅳ度37例患者采用腹腔镜改良子宫悬吊术治疗，在腹腔镜术中将不可吸收的PROLENE网片的中央固定于宫颈前筋膜，两端穿过经阔韧带的腹膜外隧道达腹壁，恢复子宫正常位置。观察疗效及并发症。结果术后6个月的客观成功率为100％，主观成功率91．9％。全部病例随访6～48个月，复发率10．8％（4／37）。结论腹腔镜改良子宫悬吊术治疗子宫脱垂有效、安全、微创，可满足患者保留子宫要求。 Objective To discuss the safety and efficacy of laparoscopic modified ventrifixation for women with uterine prolapse. Methods Thirty-seven women with Ⅱ -Ⅳ degree uterine prolapse were undergent laparoscopic modified ventrifixation in the the First Hospital of Qinhuangdao and Anzhen Hospital of Beijing from January 2008 to June 2012. The midpart of a noabsorble PROLENE soft mesh was sutured to the anterior cervical fascia. Two back ends of the mesh were passed through extraperitoneal channels through ligamentum latum uteri and sutured to the abdorminal wall to fix uterus. The effect and complications were observed. Results The objective and subjective success rate were 100% and 91.9% respcetively at 6 months after operation. All patients were followed up for 6 to 48 months. Prolapse recurrence rate was 10. 8% （4/37）. Conclusion Laparoscopic modified ventrifixation is effective, safe and mini-invasive in the treatment of uterine prolapse. The surgery may be a satisfactory procedure for women with uterine prolapse hoping for uterine preservation.

作者金海红孟津张军

机构地区河北省秦皇岛市第一医院妇科首都医科大学附属北京安贞医院

出处《中国综合临床》 2016年第3期214-217,共4页 Clinical Medicine of China

基金河北省医学科学研究重点课题计划项目（20100159）

关键词腹腔镜子宫脱垂子宫悬吊术网片 Laparoscope Uterine prolaps Laparoscopic modified ventrifixation Mesh

分类号 R713.43 [医药卫生—妇产科学]

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