保留子宫手术治疗盆腔器官脱垂的五年疗效：单中心经验
Five-year outcome of uterus sparing surgery for pelvic organ prolapse repair: a single-center experience.
作者信息
Costantini Elisabetta, Lazzeri Massimo, Zucchi Alessandro, Bini Vittorio, Mearini Luigi, Porena Massimo
机构信息
Section of Urology and Andrology, Department of Medical-Surgical Specialties and Public Health, University of Perugia, Perugia, Italy.
出版信息
Int Urogynecol J. 2011 Mar;22(3):287-92. doi: 10.1007/s00192-010-1342-7. Epub 2010 Dec 9.
INTRODUCTION AND HYPOTHESIS
The study aims to report an extended follow-up of our case series of sacrohysteropexy for pelvic organ prolapse (POP).
METHODS
Fifty-five patients with symptomatic POP underwent uterus sparing surgery. All patients were followed up for 1, 3, 6 and 12 months and then annually. Objective success was defined as a well-supported cervix and no vaginal prolapse stage ≥ 2. Subjective success was no prolapse-related symptoms or voiding disorder.
RESULTS
The mean follow-up was 60 ± 34 months. Anterior compartment prolapse (cystocele) stage ≥ 2 was present in four out of 52 patients (7.7%), while posterior compartment prolapse (rectocele) stage ≥ 2 was present in three (5.7%). Voiding symptoms were resolved in 42 out of 45 patients (93.4%) and storage symptoms in 30 out of 36 (83.3%); one patient reported de novo urgency. Sexual activity was maintained in 28 out of 29 patients (95.5%). Four patients showed de novo stress urinary incontinence.
CONCLUSION
Our findings support the use of uterus preservation, with significative objective and subjective outcomes in treating POP.
引言与假设
本研究旨在报告我们一系列盆腔器官脱垂（POP）骶骨子宫固定术病例的长期随访情况。
方法
55例有症状的POP患者接受了保留子宫的手术。所有患者在术后1、3、6和12个月进行随访，之后每年随访一次。客观成功定义为宫颈得到良好支撑且阴道脱垂分期≥2期的情况不存在。主观成功定义为无脱垂相关症状或排尿障碍。
结果
平均随访时间为60±34个月。52例患者中有4例（7.7%）存在前盆腔脱垂（膀胱膨出）≥2期，3例（5.7%）存在后盆腔脱垂（直肠膨出）≥2期。45例患者中有42例（93.4%）排尿症状得到缓解，36例中有30例（83.3%）储尿症状得到缓解；1例患者出现新发尿急。29例患者中有28例（95.5%）维持了性活动。4例患者出现新发压力性尿失禁。
结论
我们的研究结果支持保留子宫，其在治疗POP方面具有显著的客观和主观疗效。
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