Plymouth Hospitals NHS Trust, Peninsula College of Medicine and Dentistry, Plymouth, UK.
Maturitas. 2010 Jan;65(1):11-4. doi: 10.1016/j.maturitas.2009.10.007. Epub 2009 Dec 1.
The exact success rate from conventional as well as new surgical procedures for pelvic organ prolapse is unknown possibly due to the lack of standardisation of outcome measures. Usually objective measures, e.g. Pelvic Organ Prolapse Quantification (POPQ) assessment have been used as the primary outcome in most studies which show that procedures such as anterior repair have a poor outcome. However these outcomes correlate poorly with subjective assessment and re-operation rates are lower than the anatomical failure rate suggesting that conventional surgery might not have as poor an outcome as previously suggested. Nonetheless, new procedures have been introduced for which efficacy and safety data are required via well conducted randomised controlled trials.
由于缺乏对结果评估的标准化，传统及新型手术治疗盆腔器官脱垂的成功率确切数据未知。通常，研究中常将客观评估，如盆腔器官脱垂量化（POPQ）评估作为主要结局指标，这些研究表明，如前修补术等治疗方法效果较差。然而，这些结果与主观评估相关性较差，且再次手术率低于解剖学失败率，这表明传统手术的效果可能并不像之前认为的那样差。尽管如此，仍需要通过精心设计的随机对照试验来获得新手术的疗效和安全性数据。
