目的：观察骶棘韧带固定术治疗子宫脱垂患者的效果。方法：将39例子宫脱垂的患者分为观察组和对照组。观察组患者行腹腔镜辅助下全子宫切除术+腹腔镜下骶棘韧带固定术治疗，对照组患者单纯行腹腔镜辅助下全子宫切除术。记录两组患者的术中出血量、手术时间和住院时间；记录2年后两组患者术后的腹部下坠感、阴道穹隆膨出和憋尿等情况。结果：观察组患者的手术时间比对照组长，但两组患者的术中出血量和住院时间则无明显差异。观察组患者术后的腹部下坠感、阴道穹隆膨出发生率明显比对照组少，而术后的憋尿时间则比对照组长。结论：腹腔镜下行骶棘韧带固定术可加强单纯全子宫切除术治疗子宫脱垂患者的效果。%Objective:To observe the effect of sacrospinous ligament fixation on the patients underwent uterine prolapse. Method:Thirty-nine patients underwent uterine prolapse were divided into two groups:observation group and control group. The patients in the observation group were treated with panhysterectomy and sacrospinous ligament fixation under laparoscope. The patients in the control group were only treated with panhysterectomy under laparoscope. The operative bleeding,operation time,hospital stays were recorded in both groups. The incidence of abdominal straining feeling and vaginal fornix bulging after operation were recorded in both groups. The time of a full bladde after operation was recorded in both groups. Result:The operation time in the observation group was longer than that in the control group. The operative bleeding and hospital stays were not significantly different between two groups. The incidence of abdominal straining feeling and vaginal fornix bulging in the observation group were higher than that in the control group.The time of a full bladde in the observation group was longer than that in the control group.Conclusion:Sacrospinous ligament fixation under laparoscope can enhance the effect of panhysterectomy on the patients underwent uterine prolapse.
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