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基层医院治疗子宫脱垂方法观察探讨——基于圆韧带经腹膜外悬吊法

Observation and Discussion on the Treatment of Uterine Prolapse in Basic-level Hospitals — Based on the Round Ligament Via Extraperitoneal Suspension

临床医学前沿 / 2021,3(2)：11-16 / 2021-05-20 498 527

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• 作者： 刘家宝     
• 单位：

  黑龙江首大医院，黑龙江

• 关键词： 基层医院；子宫脱垂；圆韧带；腹膜外悬吊
• Uterine prolapse; Round ligament; Extraperitoneal suspension
• 摘要： 目地：对圆韧带经腹膜外悬吊治疗子宫脱垂临床效果观察和探讨。方法：本研究对象选自2012 年1 月至2013 年12 月来湖北省某医院治疗的40 例患者。将两组患者分为观察组和对照组，每组患者20 例，观察组患者采用圆韧带经腹膜外悬吊术治疗，对照组患者采用腹腔镜全子宫切除术加阴道顶端悬吊治疗子宫脱垂，术中记录两组患者手术时间、术中出血量、住院时间，术后1.3、6、12个月进行门诊随访观察两组患者术后复发率、恢复正常时间。结果观察组患者手术时间、术中出血量、术后恢复时间均优于对照组患者，差异有统计学意义（p<0.05）。术后1.3、6、12 个月门诊随访结果显示，观察组复发例数明显小于对照组，差异有统计学意义（p<0.05）。两组患者术后日常生活恢复正常，未因手术治疗引起下腹坠胀、不适等并发症。结论：圆韧带经腹膜外悬吊治疗子宫脱垂，手术简单易操作，适合基层医院，值得在临床广泛推广。
• Objective: to observe and discuss the clinical effect of round ligament hanging outside peritoneum in the treatment of uterine prolapse. Methods: a total of 40 patients were enrolled from January 2012 to December 2013 in a hospital in Hubei province. Two groups of patients were divided into observation group and control group, each group of 20 patients, observation group patients were treated with round ligament by extraperitoneal suspension, control group patients were treated with laparoscopic whole hysterectomy plus vaginal top suspension for uterine prolapse, the time of operation, blood loss and hospitalization were recorded. The recurrence rate and recovery time were observed 1.3,6 and 12 months after operation. Results the operation time, blood loss and recovery time of the patients in the observation group were better than those in the control group (p < 0.05) . After 1.3,6,12 months follow-up, the observation group recurrence cases were significantly less than the control group, the difference was statistically significant (p < 0.05) . The patients in the two groups returned to normal daily life after operation without complications such as abdominal distension and discomfort. Conclusion: the round ligament suspension treatment of uterine prolapse by extraperitoneal, simple operation, suitable for grass-roots hospitals, it is worth to be widely used in clinical.
• DOI： https://doi.org/10.35534/fcm.0302002c
• 引用： 刘佳宝．基层医院治疗子宫脱垂方法观察探讨——基于圆韧带经腹膜外悬吊法［J］．临床医学前
  沿，2021，3（2）：11-16．