Qiu Bing, Wang Aili, Chen Yanxin, Wang Zhijun
Haikou Hospital of Traditional Chinese Medicine, No. 45, Jinpan Road, Haikou 570216, Hainan, China.
The 928th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, No. 100, Longkun South Road, Haikou 570216, Hainan, China.
Evid Based Complement Alternat Med. 2022 Aug 29;2022:2585529. doi: 10.1155/2022/2585529. eCollection 2022.
To investigate the effect of laparoscopic total hysterectomy combined with high hysterosacral ligament suspension on the treatment for uterine prolapse.
A total of 100 patients with uterine prolapse treated in our two hospitals from January 2019 to December 2021 were included in this study, which were divided into two groups through the number double-blind method, with 50 patients in each group. The control group was treated with transvaginal total hysterectomy, and the research group was treated with laparoscopic total hysterectomy combined with high hysterosacral ligament suspension. The surgical effect on patients was evaluated through the pelvic organ prolapse quantification method (POP-Q). The patients' adverse reactions were compared. The quality of sexual life was evaluated with the short form of the pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ-31). And, the patients' quality of life was also evaluated with the pelvic floor distress inventory-short form 20 (PFDl-20).
The surgical effect on the control group and the research group was 80.00% and 96.00%, respectively, with statistical significance ( = 6.601, < 0.001). The incidences of adverse reactions of the two groups were 4.00% and 6.00%, respectively, which were comparable ( = 0.211, = 0.646). The total PISQ-31 scores before surgery of the control group (97.07 ± 9.80) and the research group (97.02 ± 9.80) were comparable ( = 0.020, = 0.984), and those after surgery were 112.55 ± 13.78 in the control group and 130.80 ± 17.42 in the research group, respectively, with statistical significance ( = 4.500, < 0.001). And, the total PFDl-20 scores before surgery of the control group (72.50 ± 13.58) and the research group (72.50 ± 13.60) were comparable ( = 0.057, = 0.098), and that after surgery were 56.10 ± 10.51 in the control group and 42.30 ± 8.05 in the research group, respectively, with statistical significance ( = 5.709, < 0.001).
Laparoscopic total hysterectomy combined with high hysterosacral ligament suspension has an ideal effect in patients with uterine prolapse, with few adverse reactions, effectively promoting the improvement of the quality of patients' sexual life and their life. This combination has the significance of active promotion in the clinic.
探讨腹腔镜全子宫切除术联合高位骶韧带悬吊术治疗子宫脱垂的效果。
选取2019年1月至2021年12月在我院两家医院治疗的100例子宫脱垂患者纳入本研究，采用数字双盲法分为两组，每组50例。对照组采用经阴道全子宫切除术，研究组采用腹腔镜全子宫切除术联合高位骶韧带悬吊术。通过盆腔器官脱垂定量法（POP-Q）评估手术对患者的效果。比较患者的不良反应。采用盆腔器官脱垂/尿失禁性功能问卷简表（PISQ-31）评估患者的性生活质量。同时，采用盆底困扰量表简表20（PFDl-20）评估患者的生活质量。
对照组和研究组的手术有效率分别为80.00%和96.00%，差异有统计学意义（=6.601，<0.001）。两组不良反应发生率分别为4.00%和6.00%，差异无统计学意义（=0.211，=0.646）。对照组术前PISQ-31总分（97.07±9.80）与研究组术前（97.02±9.80）差异无统计学意义（=0.020，=0.984），术后对照组为112.55±13.78，研究组为130.80±17.42，差异有统计学意义（=4.500，<0.001）。对照组术前PFDl-20总分（72.50±13.58）与研究组术前（72.50±13.60）差异无统计学意义（=0.057，=0.098），术后对照组为56.10±10.51，研究组为42.30±8.05，差异有统计学意义（=5.709，<0.001）。
腹腔镜全子宫切除术联合高位骶韧带悬吊术治疗子宫脱垂患者效果理想，不良反应少，能有效促进患者性生活质量及生活质量的提高。该联合术式在临床上具有积极推广的意义。
