摘要
目的探究圆韧带悬吊联合腹腔镜子宫全切术对患者术后阴道膨出的影响。方法回顾性分析2017年1月至2022年12月,哈尔滨医科大学附属肿瘤医院收治的行腹腔镜子宫全切术的患者的资料,按手术方式不同分为常规组(102例,采用常规腹腔镜子宫全切术)和联合组(98例,在常规组基础上联合圆韧带悬吊术)。比较2组患者手术相关指标,术后1、3、6、12个月阴道膨出发生率及术后并发症发生率,盆底肌肉肌力和性生活质量水平。结果2组手术相关指标比较,差异无统计学意义(P>0.05);术后3、6个月,联合组阴道膨出发生率显著低于常规组(P<0.05);2组其他术后并发症发生率比较,差异无统计学意义(P>0.05);术后3、6个月,联合组盆底肌肉肌力情况(Ⅰ类和Ⅱ类盆底肌纤维平均肌电压)均显著高于常规组(P<0.05);术后6、12个月,联合组性生活质量评分显著高于常规组(P<0.05)。结论联合圆韧带悬吊术可以有效降低腹腔镜子宫全切术患者术后阴道膨出的发生率,对盆底肌影响较小,能有效改善术后性生活质量。
Objective To explore the effect of round ligament suspension on postoperative vaginal protruding in patients with laparoscopic total hysterectomy.Methods The data of patients with laparoscopic total hysterectomy admitted to the Affiliated Cancer Hospital of Harbin Medical University from January 2017 to December 2022 were retrospectively analyzed.Patients were divided into conventional group(102 cases,conventional laparoscopic total hysterectomy)and combined group(98 cases,round ligament suspension on the basis of conventional group)according to different surgical methods.The surgical related indicators,incidence rate of postoperative vaginal protruding and complications,pelvic floor muscle strength and sexual life quality at 1,3,6,12 months after surgery were compared between the two groups.Results There were no statistical differences in surgical related indicators between the two groups(P>0.05).At 3 and 6 months after surgery,the incidence rate of vaginal protruding in combined group was significantly lower than that in conventional group(P<0.05),and the incidence rates of other postoperative complications revealed no statistical differences between the two groups(P>0.05).The pelvic floor muscle strength indicators(average muscle voltages of typeⅠand typeⅡpelvic floor muscle fibers)in combined group at 3 and 6 months after surgery were significantly higher than those in conventional group(P<0.05).At 6 and 12 months after surgery,the sexual life quality score in combined group was significantly higher than that in conventional group(P<0.05).Conclusion The combination of round ligament suspension can effectively reduce the incidence of vaginal protruding in patients with laparoscopic total hysterectomy,have little influence on pelvic floor muscle,and can effectively improve the postoperative sexual life quality.
作者
田淞宇
张明月
张宇博
Tian Songyu;Zhang Mingyue;Zhang Yu bo(Department of Gynaecology,The Affiliated Cancer Hospital of Harbin Medical University,Harbin 150081,Heilongjiang Province,China;Department of Anesthesiology,The Affiliated Cancer Hospital of Harbin Medical University,Harbin 150081,Heilongjiang Province,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2024年第4期433-436,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
海燕科研基金重点项目(JJZD2023-09)。
关键词
腹腔镜
子宫全切术
阴道膨出
圆韧带悬吊术
Laparoscopes
Total hysterectomy
Vaginal protruding
Round ligament suspension
