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Efficacy of vaginal uterosacral ligament suspension for preventing postoperative pelvic floor dysfunction after hysterectomy |
GAO Ying, LI Shan, JIN Weixin |
Department of Gynaecology, Qinhuangdao City Harbor Hospital of Hebei Province, Qinhuangdao 066000, China |
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Abstract Objective To evaluate the effect of sacral ligament suspension on the prevention of pelvic floor dysfunction after total abdominal hysterectomy. Methods Eighty-four cervical cancer patients in the hospital from January 2012 to June 2013 undergoing total hysterectomy were enrolled into this study and divided into abdominal hysterectomy group (control group) and abdominal hysterectomy plus uterosacral ligament suspension surgery (combined group). We compared the postoperative vaginal length, sexual satisfaction, organ prolapse and degree, and stress urinary incontinence after 6 and 12 months. Results 6 and 12 months after the operation, in total abdominal hysterectomy with sacral suspensory ligament group, vaginal lengths were (7.72±1.76)cm ,(8.13±1.46)cm, longer than in total abdominal hysterectomy group(6.91±1.40)cm,(6.74±1.74)cm. 12 months after surgery, in combination group of patients, stress urinary incontinence occurred in 1 case, in simple group 8 cases, with a significant difference (P=0.029). 12 months after surgery, in combination group of patients, bladder bulging occurred in 2 cases, in simple group of 9 cases, with a significant difference (P=0.048). Conclusions Vaginal uterosacral ligament suspension can prevent pelvic floor dysfunction after abdominal hysterectomy.
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Received: 12 February 2015
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[1] |
范文玲,杨慧敏,范玉香,等. 腹腔镜筋膜内与阴式全子宫切除术对盆底功能的影响[J].河北医药,2012, 34(1):955-956.
|
[2] |
徐敏娟,王建中,邹向红. 女性盆底功能障碍性疾病改良术式的临床研究[J]. 赣南医学院学报,2010, 30(2):665-666.
|
[3] |
王 秀,叶连红,暴 蕾. SSLF预防全子宫切除术后阴道顶端脱垂评价[J]. 中国妇幼健康研究,2011, 22(4):663-665.
|
[2] |
徐敏娟,王建中,邹向红. 女性盆底功能障碍性疾病改良术式的临床研究[J]. 赣南医学院学报,2010, 30(2):665-666.
|
[3] |
王 秀,叶连红,暴 蕾. SSLF预防全子宫切除术后阴道顶端脱垂评价[J]. 中国妇幼健康研究,2011, 22(4):663-665.
|
[4] |
赵仁峰,凌 丹. 女性盆底功能障碍性疾病175例临床分析[J]. 广西医学,2010, 32(12):521-522.
|
[4] |
赵仁峰,凌 丹. 女性盆底功能障碍性疾病175例临床分析[J]. 广西医学,2010, 32(12):521-522.
|
[5] |
许园园,黄 东,李 群,等. 次全子宫切除术对患者盆底功能近期影响的研究[J]. 中国医药科学,2012, 2(11):84-86.
|
[5] |
许园园,黄 东,李 群,等. 次全子宫切除术对患者盆底功能近期影响的研究[J]. 中国医药科学,2012, 2(11):84-86.
|
[6] |
訾 聃,杨英捷,龚飞凤,等. 133例子宫脱垂病例临床分析[J]. 中国妇幼保健,2010, 25(26):3719-3720.
|
[6] |
訾 聃,杨英捷,龚飞凤,等. 133例子宫脱垂病例临床分析[J]. 中国妇幼保健,2010, 25(26):3719-3720.
|
[7] |
杨 欣,王建六. 应重视盆地重建术并发症的防治[J]. 中国妇产科临床杂志,2011,12(2):81-83.
|
[8] |
邱 芳. 卵巢移位及腹膜阴道延长术对宫颈癌根治术患者内分泌和生活质量的影响[J]. 中国妇幼保健,2014, 26(29): 4337-4339.
|
[7] |
杨 欣,王建六. 应重视盆地重建术并发症的防治[J]. 中国妇产科临床杂志,2011,12(2):81-83.
|
[8] |
邱 芳. 卵巢移位及腹膜阴道延长术对宫颈癌根治术患者内分泌和生活质量的影响[J]. 中国妇幼保健,2014, 26(29): 4337-4339.
|
[9] |
许晓荣. 产科手术过程中致输尿管损伤临床研究[J]. 中国实用医药,2015, 2(10): 91-92.
|
[9] |
许晓荣. 产科手术过程中致输尿管损伤临床研究[J]. 中国实用医药,2015, 2(10): 91-92.
|
[1] |
. [J]. , 2009, 20(01): 71-72. |
|
|
|
|