Division of Urogynecology, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC, USA.
Am J Obstet Gynecol. 2012 May;206(5):435.e1-5. doi: 10.1016/j.ajog.2012.01.035. Epub 2012 Feb 1.
The purpose of this study was to compare symptomatic and anatomic outcomes 1 year after robotic vs abdominal sacrocolpopexy.
Our retrospective cohort study compared women who underwent robotic sacrocolpopexy (RSC) with 1 surgeon to those who underwent abdominal sacrocolpopexy (ASC) as part of the Colpopexy and Urinary Reduction Efforts trial. Our primary outcome was a composite measure of vaginal bulge symptoms or repeat surgery for prolapse.
We studied 447 women (125 with RSC and 322 with ASC). Baseline characteristics were similar. There were no significant differences in surgical failures 1 year after surgery based on our primary composite outcome (7/86 [8%] vs 12/304 [4%]; P = .16). When we considered anatomic failure, there were also no significant differences between RSC and ASC (4/70 [6%] vs 16/289 [6%]; P = .57).
One year after sacrocolpopexy, women who underwent RSC have similar symptomatic and anatomic success compared with those women who underwent ASC.
本研究旨在比较机器人辅助与经腹式骶骨阴道固定术 1 年后的症状和解剖学结局。
本回顾性队列研究比较了由同一位医生施行机器人骶骨阴道固定术（RSC）与经腹式骶骨阴道固定术（ASC）的女性，其均为 Colpopexy 和 Urinary Reduction Efforts 试验的一部分。我们的主要结局是阴道膨出症状或脱垂复发的综合测量。
我们研究了 447 名女性（RSC 组 125 名，ASC 组 322 名）。基线特征相似。根据我们的主要复合结局，术后 1 年手术失败无显著差异（7/86 [8%] 与 12/304 [4%]；P =.16）。当我们考虑解剖学失败时，RSC 和 ASC 之间也没有显著差异（4/70 [6%] 与 16/289 [6%]；P =.57）。
骶骨阴道固定术后 1 年，行 RSC 的女性在症状和解剖学成功方面与行 ASC 的女性相似。
