Clinical Research Of The Stationary Sacral Spine Suspensory Ligament Surgery In The Treatment Of Uterine Prolapse Of Reinforcement In The Pelvic Cavity

ObjectiveDiscuss stationary sacral spine suspensory ligament surgery in the treatment ofuterine prolapse the clinical curative effect of reinforcement in the pelvic cavity.MethodsChoose gynaecology diagnose uterine prolapse or parallel surgical treatment ofvaginal vault prolapse POP-Q indexing III~IV patients93cases as the research object.in June2008to June2012in our hospital department. It can be divided into threegroups: Team32cases and P-IVS group30cases, SSLF group31cases. Team, P-IVS group and SSLF group respectively fixed sacral spine suspensory ligament surgery,and the posterior vaginal slings and sacral spine ligament fixation. Record theintraoperative blood loss, operative time, postoperative bed time, postoperativeinfection, postoperative fever and pain, mesh erosion recurrence, postoperative sexuallife, prolapse, etc.Results(1) Record the harness method of dual lateral sacral spine ligament suspension, P-IVS, SSLF operation time remove the other operation time. The group is the averageoperation time was32.15±4.97min; P-IVS group was34.50±5.00min; SSLF groupwas44.35±6.13min. Through statistical analysis, P=0.000<0.05, suggesting thatoperative time between the three groups had significant difference statisticallysignificant. And the team operation time is shorter than P-IVS group, P-IVS shorterthan SSLF group. Team average blood loss was33.75±4.92ml, P-IVS group was33.67±4.90ml, SSLF group was33.55±4.86ml. Through statistical analysis, P=0.987>0.05, the team with P-IVS, SSLF intraoperatie blood loss there was nosignificant difference between groups. Bed time: after the team averaged23.97±1.64 hours, P-IVS group55.77±10.57hours on average, SSLF54.03±9.80hours onaverage. By statistical analysis (P=0.000<0.05, suggesting that the bed time betweenthree groups had significant difference statistically significant. Group and team beforebed time SSLF, SSLF group prior toP-IVF(2) none of the patients with postoperative hematoma, without postoperative bloodtransfusion to observe all of the patients postoperative cases. No severe postoperativepain, all be II degree and the degree of pain, Team of postoperative pain in patientswith0degrees:24cases, I degrees:6cases,2degrees:2cases, postoperative pain inpatients with P-IVS group0degrees:20cases, I degrees: II degree: the2cases,8cases SSLF group of patients with postoperative pain:0degrees,22cases I degrees:7cases, II degree: the2cases. By statistical analysis (P=0.966>0.05, postoperativepain degree difference between three groups has no statistical significance. Threegroups of patients with postoperative fever (P=0.842>0.05, P=0.423>0.05threegroups of patients with postoperative infection, suggests that postoperative infectionand postoperative fever difference between three groups has no statistical significance.(3)6-54months follow-up of patients, the average time of35months, Team1case of recurrence, the cure rate96.88%, recurrence rate:3.12%, P-IVS group has8cases of recurrence, the recurrence rate was26.67%, the cure rate of73.33%, SSLFgroup3cases recurrence, the recurrence rate was9.68%, the cure rate90.32%, Bystatistical analysis (P=0.022<0.05, suggesting that postoperative recurrence betweenthe three groups was statistically significant. Comparing two to three groups of patients,found that SSLF and P-IVS group compared postoperative relapse, through statisticalanalysis, P=0.084>0.0167, prolapse recurrence, there was no significant differencebetween the two groups; SSLF and postoperative relapse compared between group,after statistics analysis (P=0.355>0.0167, prolapse recurrence between the twogroups no significant difference; P-IVS, and postoperative relapse compared betweengroup, after statistics analysis (P=0.011<0.0167, prolapse recurrence between thetwo groups have significant difference. All in all, only team and P-is a recurrence ofIVS group differences, P-8/30=26.67%recurrence rate IVS,1/32=3.12%recurrence rate team suggests that the team, the recurrence rate is less than P-IVSgroup. P-IVS and mesh erosion postoperatively in patients with team after statisticalanalysis, P=0.323>0.05shows net erosion degree of difference between the twogroups has no statistical significance. Group sex slump in1case, show the sexdiscomfort, P-IVS group in3cases, SSLF nine v. sexual life quality drops, include loss of sexual intercourse frequency, desires, stiff, painful intercourse, vaginalreduction, etc, the physical examination were not found abnormal. Three groups ofpatients with postoperative sexual life impact is shown in table12, after statisticsanalysis (P=0.062>0.0167, indicating SSLF, IVS group there was no statisticallysignificant difference effect on sex. Three groups of patients with postoperative sexuallife impact is shown in table12, after statistical analysis, P=0.014<0.05illustratethree groups affect sex difference was statistically significant. Three groups of thepairwise comparison, SSLF and P-IVS group of patients with postoperative influencesexual life after statistical analysis, P=0.062>0.0167SSLF, IVS group there was nostatistically significant difference effect on sex. SSLF and team in postoperativepatients with sex influence by the statistical analysis, P=0.006<0.0167, explain SSLF,team effect on sex difference was statistically significant, SSLF affect sex ratio:9/31=0.29=29%, the team have an effect on sex ratio:0.03=1/32=3%, showed the team tothe influence of the sex rate is less than SSLF group. P-IVS and sex influencepostoperative mortality in patients with team after statistical analysis, P=0.346>0.0167，P-IVS, the team there was no statistically significant difference effect on sex.In conclusion, SSLF, team effect on sex difference was statistically significant, andresearch on the influence of the sex rate is less than SSLF group.ConclusionStationary sacral spine suspensory ligament surgery surgical operation is simple,easy to grasp, postoperative vaginal fluid axial hasn’t changed, strong, postoperativevaginal vaginal length without change, more in line with the physiological anatomy,affect sexual life is small, in the treatment of pelvic organ prolapse has a high practicalvalue and is worth popularization in clinical. But this group of cases, follow-up time isnot long, has yet to be further follow-up for patients and accumulate more medicalrecords.