Department of Gynecology, Clinique La Casamance, Aubagne, France.
J Minim Invasive Gynecol. 2011 Nov-Dec;18(6):747-54. doi: 10.1016/j.jmig.2011.08.002.
Assessment of 1-year quality of life outcome of patients treated with laparoscopic sacrocolpopexy.
A prospective multicenter observational study (Canadian Task Force classification II-3).
Four French medical centers.
A total of 94 women who underwent laparoscopic sacrocolpopexy for pelvic organ prolapse between June 2006 and May 2007 were included in the study.
Women attended a research clinic where they completed validated quality of life questionnaires and were examined. Women were assessed before and 1 year after surgery for the degree and impact of vaginal, urinary, and bowel symptoms with validated quality of life questionnaires, evaluation of sexual function with a validated questionnaire, and pelvic organ support was assessed by a Pelvic Organ Prolapse Quantification score. Mean age of the women was 58.8 years. Anatomic success occurred in 94% of women. Concomitant urinary continence surgery was performed in 39% of cases. All the scores of quality of life and sexuality were significantly improved at 1 year.
Laparoscopic sacrocolpopexy for pelvic floor prolapse is a safe and effective treatment that has a positive impact on every aspect of quality of life (symptoms, social impact, sexual function) in the medium term.
评估腹腔镜骶骨阴道固定术治疗患者的 1 年生活质量结果。
前瞻性多中心观察性研究（加拿大任务组分类 II-3）。
四个法国医疗中心。
2006 年 6 月至 2007 年 5 月期间，共 94 名因盆腔器官脱垂而行腹腔镜骶骨阴道固定术的女性患者纳入研究。
女性到研究诊所就诊，填写经过验证的生活质量问卷并接受检查。女性在手术前和手术后 1 年时，采用经过验证的生活质量问卷评估阴道、尿和肠症状的严重程度和影响，采用经过验证的问卷评估性功能，采用盆腔器官脱垂量化评分评估盆腔器官支持情况。女性的平均年龄为 58.8 岁。94%的女性达到解剖学成功。39%的病例同时进行了尿失禁手术。所有生活质量和性功能评分在 1 年后均显著改善。
腹腔镜骶骨阴道固定术治疗盆底脱垂是一种安全有效的治疗方法，对生活质量的各个方面（症状、社会影响、性功能）都有积极的影响，在中期效果明显。
