机器人辅助骶骨阴道固定术和骶骨宫颈固定术治疗盆腔顶部支持缺陷的手术效果前瞻性评估
Prospective evaluation of surgical outcomes of robot-assisted sacrocolpopexy and sacrocervicopexy for the management of apical pelvic support defects.
作者信息
Matthews Catherine A, Carroll Ashley, Hill Audra, Ramakrishnan Viswanathan, Gill Edward J
机构信息
Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC 27599-7570, USA.
出版信息
South Med J. 2012 May;105(5):274-8. doi: 10.1097/SMJ.0b013e318254d0c6.
OBJECTIVE
To evaluate outcomes of robot-assisted sacrocolpopexy (RSCP) and sacrocervicopexy (RCSP).
METHODS
We conducted a prospective study of women undergoing RSCP or RCSP between June 2008 and January 2010.
RESULTS
A total of 85 cases (48 RSCP and 37 supracervical hysterectomy with concomitant RCSP) were performed: 33% (28/85) for stage II, 54% (46/85) for stage III, and 13% (11/85) for stage IV pelvic organ prolapse (POP). Six weeks postoperatively, 96% (80/83) had stage 0, 2.4% (2/83) had stage I, and 1.2% (1/83) had stage II POP (P < 0.001). Six months postoperatively, 77% (24/31) had stage 0, 6.5% (2/31) had stage I, and 16% (5/31) had stage II POP (P < 0.001). Mean surgical time, estimated blood loss, and length of hospital stay was 194 ± 54 minutes, 49 ± 48 cm, and 1.6 ± 0.72 days, respectively. There were 2 cases of mesh erosion (2.3%), both in the RSCP group.
CONCLUSIONS
RSCP and RCSP are effective, efficient, and safe procedures.
目的
评估机器人辅助骶骨阴道固定术（RSCP）和骶骨宫颈固定术（RCSP）的疗效。
方法
我们对2008年6月至2010年1月期间接受RSCP或RCSP的女性进行了一项前瞻性研究。
结果
共进行了85例手术（48例RSCP和37例次全子宫切除术并同期行RCSP）：Ⅱ期盆腔器官脱垂（POP）占33%（28/85），Ⅲ期占54%（46/85），Ⅳ期占13%（11/85）。术后6周，96%（80/83）处于0期，2.4%（2/83）处于Ⅰ期，1.2%（1/83）处于Ⅱ期POP（P<0.001）。术后6个月，77%（24/31）处于0期，6.5%（2/31）处于Ⅰ期，16%（5/31）处于Ⅱ期POP（P<0.001）。平均手术时间、估计失血量和住院时间分别为194±54分钟、49±48毫升和I.6±0.72天。有2例（2.3%）发生网片侵蚀，均在RSCP组。
结论
RSCP和RCSP是有效、高效且安全的手术。
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