腹腔镜与经腹骶骨阴道固定术：一项比较队列研究。

Laparoscopic and abdominal sacral colpopexies: a comparative cohort study.

作者信息

Paraiso Marie Fidela R, Walters Mark D, Rackley Raymond R, Melek Seham, Hugney Cathy

机构信息

Department of Obstetrics and Gynecology, The Cleveland Clinic Foundation, Ohio, USA.

出版信息

Am J Obstet Gynecol. 2005 May;192(5):1752-8. doi: 10.1016/j.ajog.2004.11.051.

DOI:10.1016/j.ajog.2004.11.051

PMID:15902189

Abstract

OBJECTIVE

This study was undertaken to compare laparoscopic and open sacral colpopexies for efficacy and safety.

STUDY DESIGN

Charts were reviewed for 56 patients who underwent laparoscopic sacral colpopexy and 61 patients who underwent open sacral colpopexy. Demographic and hospital data, complications, and follow-up visits were reviewed.

RESULTS

Mean follow-up was 13.5 +/- 12.1 months and 15.7 +/- 18.1 months in the laparoscopic and open groups, respectively. Mean operating time was significantly greater in the laparoscopic versus open cohort, 269 +/- 65 minutes and 218 +/- 60 minutes, respectively (P < .0001). Estimated blood loss (172 +/- 166 mL vs 234 +/- 149 mL; P = .04) and hospital stay (1.8 +/- 1.0 days vs 4.0 +/- 1.8 days; P < .0001) were significantly less in the laparoscopic group than the open group. Complication and reoperation rates were similar.

CONCLUSION

Laparoscopic and open sacral colpopexies have comparable clinical outcomes. Although laparoscopic sacral colpopexy requires longer operating time, hospital stay is significantly decreased.

摘要

目的

本研究旨在比较腹腔镜骶骨阴道固定术和开放性骶骨阴道固定术的疗效与安全性。

研究设计

回顾了56例行腹腔镜骶骨阴道固定术患者和61例行开放性骶骨阴道固定术患者的病历。对人口统计学和医院数据、并发症及随访情况进行了回顾。

结果

腹腔镜组和开放组的平均随访时间分别为13.5±12.1个月和15.7±18.1个月。腹腔镜组的平均手术时间显著长于开放组，分别为269±65分钟和218±60分钟（P<0.0001）。腹腔镜组的估计失血量（172±166 mL对234±149 mL；P=0.04）和住院时间（1.8±1.0天对4.0±1.8天；P<0.0001）明显少于开放组。并发症和再次手术率相似。