Department of Obstetrics and Gynaecology, United Christian Hospital, Kwun Tong, Hong Kong.
Hong Kong Med J. 2011 Aug;17(4):301-5.
To evaluate the anatomical and functional outcomes following laparoscopic sacrocolpopexy in a local unit.
Retrospective case series.
A regional hospital in Hong Kong.
All women who underwent laparoscopic sacrocolpopexy for symptomatic uterine or post-hysterectomy prolapse from January 2003 to December 2008.
Anatomical outcomes, functional outcomes including complications.
A total of 31 patients were recruited. The success rate in treating apical vaginal wall prolapse was 100%. There were no recurrences of vault prolapse (defined as stage II or higher). Approximately 19% of women had anterior vaginal wall prolapse and 23% had urinary stress incontinence postoperatively; 6% had a second operation because of anterior vaginal wall prolapse. The rates of dyspareunia and constipation were low. The mean hospital stay was 4 (range, 2-11) days. Two patients sustained bladder injuries and one rectal injury resulting in a rectovaginal fistula. For three patients the procedure was converted to a laparotomy.
Laparoscopic sacrocolpopexy is feasible in our population and has a high success rate for treating apical vaginal wall prolapse. The incidence of complications was acceptable.
评估本地单位行腹腔镜骶骨阴道固定术后的解剖学和功能结果。
回顾性病例系列。
香港一家地区医院。
2003 年 1 月至 2008 年 12 月期间因子宫或子宫切除术后脱垂而接受腹腔镜骶骨阴道固定术的所有女性。
解剖学结果，包括并发症在内的功能结果。
共纳入 31 例患者。治疗顶壁阴道脱垂的成功率为 100%。无穹窿脱垂复发（定义为 II 期或更高级别）。大约 19%的女性术后有前阴道壁脱垂，23%有压力性尿失禁；6%因前阴道壁脱垂而进行了第二次手术。性交困难和便秘的发生率较低。平均住院时间为 4 天（范围 2-11 天）。2 例患者发生膀胱损伤，1 例直肠损伤导致直肠阴道瘘。有 3 例患者的手术转为剖腹手术。
腹腔镜骶骨阴道固定术在我们的人群中是可行的，对于治疗顶壁阴道脱垂具有很高的成功率。并发症发生率可以接受。
