子宫骶骨韧带悬吊术中使用的永久性缝线比延迟可吸收缝线提供更好的解剖学支撑。
Permanent suture used in uterosacral ligament suspension offers better anatomical support than delayed absorbable suture.
作者信息
Chung Christopher P, Miskimins Richard, Kuehl Thomas J, Yandell Paul M, Shull Bobby L
机构信息
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Scott and White Healthcare/Texas A&M Health Science Center College of Medicine, 2401 South 31st Street, Temple, TX 76508, USA.
出版信息
Int Urogynecol J. 2012 Feb;23(2):223-7. doi: 10.1007/s00192-011-1556-3. Epub 2011 Sep 3.
INTRODUCTION AND HYPOTHESIS
The objective of this study was to compare the outcomes of uterosacral ligament suspension (USLS) procedures in relation to suture material used for apical suspension.
METHODS
A retrospective chart review was performed for two senior surgeons who supervised and performed USLS with both suture types in 2008-2009. Permanent and delayed absorbable sutures were compared for failure of anatomical support. Failure, defined as recurrent prolapse beyond the hymen, was evaluated using survival analysis.
RESULTS
Two hundred forty-eight procedures were performed. One percent in the permanent group had a loss of support beyond the hymen compared to 6% in the delayed absorbable group (p = 0.034). The preoperative prolapse stage and duration of follow-up did not differ between the two groups. The number of sutures used did not differ between patients who failed and those who did not fail.
CONCLUSIONS
The use of permanent sutures for USLS of the vaginal apex was associated with a lower failure rate than delayed absorbable sutures in the short-term.
引言与假设
本研究的目的是比较子宫骶骨韧带悬吊术（USLS）在使用不同顶端悬吊缝合材料时的手术效果。
方法
对2008 - 2009年期间两位监督并实施两种缝合方式的资深外科医生进行回顾性病历审查。比较不可吸收缝线和延迟可吸收缝线在解剖学支撑失败方面的情况。失败定义为处女膜外复发性脱垂，采用生存分析进行评估。
结果
共进行了248例手术。不可吸收缝线组有1%的患者出现处女膜外支撑丧失，而延迟可吸收缝线组为6%（p = 0.034）。两组患者术前脱垂分期和随访时间无差异。失败患者和未失败患者使用的缝线数量无差异。
结论
在短期内，阴道顶端子宫骶骨韧带悬吊术使用不可吸收缝线比延迟可吸收缝线的失败率更低。
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