Pelvic Floor Research Group, University of Michigan, Ann Arbor, MI, USA.
Am J Obstet Gynecol. 2010 Feb;202(2):124-34. doi: 10.1016/j.ajog.2009.07.052.
This systematic review of uterosacral ligament suspension provides a metaanalysis of anatomic outcomes and a summary of subjective outcomes. A successful anatomic outcome was considered present when women had "optimal" or "satisfactory" (pelvic organ prolapse quantification system stage 0 or 1) outcomes. In the anterior, apical, and posterior compartments, the pooled rates for a successful outcome were 81.2% (95% confidence interval [CI], 67.5-94.5%), 98.3% (95% CI, 95.7-100%), and 87.4% (95% CI, 67.5-94.5%). In the anterior compartment, women with preoperative stage 2 prolapse were more likely than those with preoperative stage 3 prolapse to have a successful anatomic outcome (92.4% vs 66.8%; P = .06). Outcomes, with respect to subjective symptoms, were reassuring; however, it was not possible to pool data because of methodologic differences between studies.
这篇关于子宫骶骨韧带悬吊术的系统评价提供了解剖学结果的荟萃分析和主观结果的总结。当女性的结果为“理想”或“满意”（盆腔器官脱垂定量系统 0 或 1 期）时，被认为是成功的解剖学结果。在前、顶、后三个隔室中，成功结局的合并率分别为 81.2%（95%可信区间 [CI]，67.5-94.5%）、98.3%（95% CI，95.7-100%）和 87.4%（95% CI，67.5-94.5%）。在前隔室中，术前 2 期脱垂的女性比术前 3 期脱垂的女性更有可能获得成功的解剖学结果（92.4%比 66.8%；P =.06）。关于主观症状的结果令人放心；然而，由于研究之间方法学的差异，无法对数据进行合并。
