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目的:探讨腹腔镜下骶棘韧带固定术治疗老年子宫阴道残断脱垂的临床疗效。方法:选取2008年1月～2011年1月64例老年子宫阴道残断脱垂患者为研究对象,将其随机分为对照组32例和观察组32例,对照组采取经阴道骶棘韧带固定术,观察组采取腹腔镜下骶棘韧带固定术,比较两组患者的手术时间、术中出血量、排气时间、尿管使用时间、住院时间、并发症发生率、患者满意率、QOL评分及主客观治愈率。结果:观察组的手术时间、排气时间、尿管使用时间、住院时间均短于对照组,术中出血量少于对照组,并发症发生率低于对照组,患者满意率高于对照组,QOL评分优于对照组,主观治愈率和客观治愈率均高于对照组(P<0.05)。结论:腹腔镜下骶棘韧带固定术治疗老年患者子宫阴道残断脱垂疗效佳,综合优势明显,显著改善患者的状态。
Objective: To investigate the clinical effect of laparoscopic sacrospinous ligament fixation in the treatment of senile uterine vaginal invagination. Methods: From January 2008 to January 2011, 64 cases of elderly patients with uterine vaginal detachment were selected as the research object. They were randomly divided into control group (32 cases) and observation group (32 cases). The control group was treated with transvaginal sacrospinous ligament fixation The patients in observation group were treated with laparoscopic sacrospinous ligament fixation. The operation time, intraoperative blood loss, exhaust time, catheterization time, hospitalization time, complication rate, patient satisfaction rate, QOL score Subjective and objective cure rates. Results: The operation time, exhaust time, catheterization time and hospital stay in the observation group were shorter than those in the control group. The blood loss in the operation group was less than that in the control group. The complication rate was lower in the observation group than in the control group , QOL score was better than the control group, subjective cure rate and objective cure rate were higher than the control group (P <0.05). Conclusion: Laparoscopic treatment of sacrospinous ligament fixation in the treatment of elderly patients with uterine vaginal prolapse prolapse has good curative effect, obvious advantages in comprehensive and significant improvement of the patient’s condition.