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肠压板在优化骶棘韧带悬吊术中的应用

Application of an Intestinal Spatula in Optimizing a Sacrospinous Ligament Suspension.

作者信息

Zhu Xiaofan, Chen Yingfan, Song Yao, Liang Miao, Ran Guangqin, Chen Cheng

机构信息

Department of Gynaecology and Obstetrics, Chongqing General Hospital, Chongqing University, Chongqing, 401147, People's Republic of China.

出版信息

Int J Womens Health. 2025 Jul 31;17:2365-2373. doi: 10.2147/IJWH.S526894. eCollection 2025.

Abstract

OBJECTIVE

The purpose of this study was to investigate the application of an intestinal spatula in a sacrospinous ligament suspension, the effects of this surgical method on the surgical field, and surgical effectiveness.

METHODS

The clinical data of 33 patients who underwent suspension using intestinal spatula and 33 patients who underwent traditional surgery were collected, and the duration of surgery, amount of intraoperative blood loss, degree of postoperative pain, and degree of preoperative and postoperative uterine prolapse between the two groups were compared.

RESULTS

Multivariate analysis revealed that the modified technique significantly reduced anal pain incidence (OR=0.17, =0.015) and improved anatomical C-point recovery (β=-0.73, <0.001), though no significant differences were observed in operative time or blood loss.

CONCLUSION

This study revealed that the application of an intestinal spatula in a sacrospinous ligament suspension can improve the surgical effect and reduce the incidence of postoperative complications, which is of clinical significance.

摘要

目的

本研究旨在探讨肠压板在骶棘韧带悬吊术中的应用、该手术方法对手术视野的影响以及手术效果。

方法

收集33例行肠压板悬吊术患者和33例行传统手术患者的临床资料,比较两组患者的手术时间、术中出血量、术后疼痛程度以及术前和术后子宫脱垂程度。

结果

多因素分析显示,改良技术显著降低了肛门疼痛发生率(OR=0.17,P=0.015),并改善了解剖学C点恢复情况(β=-0.73,P<0.001),尽管手术时间和出血量方面未观察到显著差异。

结论

本研究表明,肠压板在骶棘韧带悬吊术中的应用可提高手术效果并降低术后并发症发生率,具有临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3658/12325101/fd916e6125b6/IJWH-17-2365-g0001.jpg

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