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采用网片的腹腔镜外侧悬吊术治疗盆腔脏器脱垂:73例患者的系列研究

Treatment of genital prolapse by laparoscopic lateral suspension using mesh: a series of 73 patients.

作者信息

Dubuisson Jean-Bernard, Yaron Michal, Wenger Jean-Marie, Jacob Sandrine

机构信息

Department of Obstetrics and Gynecology, Geneva University Hospital, Geneva, Switzerland.

出版信息

J Minim Invasive Gynecol. 2008 Jan-Feb;15(1):49-55. doi: 10.1016/j.jmig.2007.11.003.

DOI:10.1016/j.jmig.2007.11.003
PMID:18262144
Abstract

STUDY OBJECTIVE

To evaluate the efficacy of laparoscopic lateral suspension using mesh in patients with pelvic organ prolapse (POP).

DESIGN

A prospective cohort study (Canadian Task Force classification II-2).

SETTING

A tertiary referral center for operative laparoscopy.

PATIENTS

In all, 73 patients with POP were assessed in the preoperative and postoperative stages. The assessment included a description of their functional symptoms and the degree of their POP condition, established according to the Baden-Walker prolapse classification system. The patients were followed in the postoperative stage for a median of 19 (range 12-41) months.

INTERVENTIONS

Laparoscopic lateral suspension of pelvic organs using mesh carried out from January 2004 through September 2006.

MEASUREMENTS AND MAIN RESULTS

Satisfactory anatomic results were obtained in 64 (87.7%) patients. Neither major complications, nor postoperative pelvic infection were reported. None of the operations required laparotomy.

CONCLUSION

Laparoscopic lateral suspension using mesh effectively treats POP with low morbidity.

摘要

研究目的

评估使用网片进行腹腔镜侧方悬吊术治疗盆腔器官脱垂(POP)患者的疗效。

设计

一项前瞻性队列研究(加拿大工作组分类II - 2)。

地点

一家三级腹腔镜手术转诊中心。

患者

总共73例盆腔器官脱垂患者在术前和术后阶段接受评估。评估包括根据巴登 - 沃克脱垂分类系统对其功能症状和盆腔器官脱垂程度的描述。患者在术后阶段接受了中位时间为19个月(范围12 - 41个月)的随访。

干预措施

2004年1月至2006年9月期间采用网片进行腹腔镜盆腔器官侧方悬吊术。

测量指标和主要结果

64例(87.7%)患者获得了满意的解剖学结果。未报告重大并发症或术后盆腔感染。所有手术均无需开腹。

结论

使用网片进行腹腔镜侧方悬吊术能有效治疗盆腔器官脱垂,且发病率低。

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