Division of Urogynecology, Department of Obstetrics and Gynecology, University of Greifswald, Germany.
Acta Obstet Gynecol Scand. 2011 May;90(5):429-36. doi: 10.1111/j.1600-0412.2011.01084.x. Epub 2011 Mar 16.
There has been a trend towards increased use of synthetic meshes and abdominal procedures with decreased use of sacrospinous fixation (SSF). A Medline search was performed for the MeSH terms 'sacrospinous ligament', 'sacrospinous fixation', 'sacrospinous ligament suspension' and 'sacrospinous colpopexy'. Published papers from 1996-2010 were selected for analysis. Outcome measures were assessed in terms of efficacy, complications and quality of life after sacrospinous vaginal fixation. Studies on bilateral SSF and fixing uterus to the sacrospinous ligament, use of concomitant anti-incontinence procedures along with SSF were not included in this review. Sacrospinous vaginal fixation provides good long-term objective and subjective outcomes and improves quality of life of women with pelvic organ prolapse. Further, complication rates of SSF are comparable to abdominal sacrocolpopexy and are much less than transvaginal mesh procedures and SSF is a cost-effective procedure. SSF is a time-tested surgical procedure with a reduction in surgical extent and has a definite place in modern pelvic reconstructive surgery.
目前，临床上使用合成网片和腹部手术的趋势逐渐增加，而经骶棘韧带固定术（SSF）的使用则有所减少。本文检索了 Medline 主题词“骶棘韧带”、“骶棘韧带固定术”、“骶棘韧带悬吊术”和“骶棘韧带阴道固定术”，并对 1996 年至 2010 年的相关文献进行了分析。评估指标包括骶棘韧带阴道固定术的疗效、并发症和生活质量。本综述未纳入双侧 SSF、将子宫固定到骶棘韧带上、同时进行抗尿失禁手术的研究。骶棘韧带阴道固定术可为盆腔器官脱垂患者提供良好的长期客观和主观疗效，并提高其生活质量。此外，SSF 的并发症发生率与经腹骶骨阴道固定术相当，远低于经阴道网片手术，且具有成本效益。SSF 是一种经过时间考验的手术方法，其手术范围缩小，在现代盆底重建手术中具有明确的地位。
