腹腔镜下骶前固定术治疗盆底功能障碍性疾病18例临床疗效分.doc

腹腔镜下骶前固定术治疗盆底功能障碍性疾病18例临床疗效分.doc腹腔镜下舐前固定术治疗盆底功能障碍性疾病18例临床疗效分何英慧刘桃金凤斌摘耍:冃的分析腹腔镜下舐前固定术治疗以屮盆腔缺陷为主的盆底功能障碍疾病的临床疗效,评价***舐前固定术的有效性及安全性。方法18例盆底功能障碍患者采用腹腔镜下舐前固定术,观察术后治愈率及围手术期并发症发生情况。结果术后随访6〜12个月,应用POP-Q定量分度法及盆腔器官脱垂■尿失禁患者***调查问卷评价手术效果、患者术后***恢复及症状改善情况。术后治愈率达100%,均未发生术中及术后大出血、膀胱及直肠损伤;术后随访患者解剖结构得到成功恢复,英***断端距离处女膜最远点较术前减小(P<);***恢复满意度与术前比较差异无统计学意义(P〉)o结论腹腔镜下舐前固定术是一种临床治疗效果确切,安全冇效的治疗中盆腔缺陷为主的盆底功能障碍疾病的手术方式,短期疗效确切,长期疗效可待进一步观察。关键词盆底功能障碍性疾病;腹腔镜紙前固定术;疗效分析Evaluationonclinicaleffectivenessoflaparoscpicsacralcolpopexytreatmentof18casespelvicfloordysfunction[Abstract]Objective:anprolapse(POP):18casesofpelvicfloordysfunctionweretreatedbylaparoscopicsacralcolpopexy,:・anprolapseincontinencepatients&#39;sexuallifequestiorrnaireevaluatesurgicaleffects,%.Neithercaseofintraoperativeandpostoperativebleeding,-essfullyrestored,thedistanceofvaginalcuffendandhymenapoapsisreducedsignificantlythanthepreoperative(P(),paredwithpreoperative(P)).Conclusion:Laparoscopicsacralcolpopexyisakindofoperationmethodwhichclinicaltreatmenteffectisexact,avitydefectsisgivenprioritytopelvicfloordysfunctiondisease,short-termcurativeeffect,Iong-:anProlapse;l