文献类型：期刊文献

中文题名：改良腹腔镜高位骶韧带悬吊术在重度中盆腔脱垂的中期疗效评价

英文题名：Intermediate-term outcomes of modified laparoscopic high uterosacral ligament suspension in advanced pelvic organ prolapse

作者：吴珍珍[1,2];马福堂[1];王惠玲[1];孙健豪[2];赵雅琴[1];刘青[1,2]

第一作者：吴珍珍

机构：[1]甘肃省妇幼保健院妇科,甘肃兰州730050;[2]甘肃中医药大学第一临床医学院,甘肃兰州730000

第一机构：甘肃省妇幼保健院妇科,甘肃兰州730050

年份：2022

卷号：48

期号：9

起止页码：41

中文期刊名：兰州大学学报（医学版）

外文期刊名：Journal of Lanzhou University（Medical Sciences）

收录：CSTPCD

基金：甘肃省卫生行业科研计划资助项目(GSWSKY2020-16)。

语种：中文

中文关键词：盆腔器官脱垂;高位骶韧带悬吊术;腹腔镜;疗效

外文关键词：pelvic organ prolapse;high uterosacral ligament suspensiony;laparoscopic surgery;efficacy

摘要：目的评价改良腹腔镜高位骶韧带悬吊术在重度中盆腔脱垂的中期疗效。方法纳入2017年11月-2020年12月在甘肃省妇幼保健院因中盆腔脱垂Ⅲ度、Ⅳ度行改良腹腔镜高位骶韧带悬吊术41例患者,术后以门诊检查及电话随访及问卷评价疗效。结果术后6、12个月与术前相比,Aa、Ba、C均显著改善,差异有统计学意义(P<0.05);术后6、12个月盆底疾病生命质量影响问卷和盆底功能障碍问卷评分均较术前均改善,差异有统计学意义(P<0.05);随访(32.44±11.10)个月,复发率19.51%,再手术率2.44%,缝线暴露率14.63%,整体印象改善评分量表总体满意度92.68%。结论针对重度中盆腔脱垂,改良腹腔镜高位骶韧带悬吊术能达到解剖学的整体改善,有效改善患者生活质量,但合并重度前盆腔脱垂者复发率高。
Objective To evaluate the outcomes of modified laparoscopic high uterosacral ligament suspension in advanced pelvic organ prolapse in intermediate term.Methods On 41 patients with advanced pelvic organ prolapse who underwent modified laparoscopic high uterosacral ligament suspension between November 2017 and December 2020.Only symptomatic uterine or vaginal vault prolapse patients with stageⅢ,Ⅳwere included.After the operation,we used the outpatient and telephone follow-up and questionnaires to evaluate cases.Results After 6 months and 12 months,points(Aa,Ba,C)were all improved(P<0.05).The scores of pelvic floor impact questionnaire short form 7 and pelvic floor distress inventory-short form 20 were improved,seperately(P<0.05).After(32.44±11.10)months follow-up,the recurrence rate was 19.51%,reoperation rate was 2.44%,suture erosion rate were 14.63%,patient global impression of improvement scale was 92.68%.Conclusion Modified laparoscopic high uterosacral ligament suspension is efficacious for patients with advanced pelvic organ prolapse of the middle compartment.But patients with concomitant advanced anterior compartment had a high anatomical cystocele recurrence rate.