Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia.
Medstar Washington Hospital Center, Georgetown University School of Medicine, Washington, DC.
J Minim Invasive Gynecol. 2014 Jan-Feb;21(1):97-100. doi: 10.1016/j.jmig.2013.07.008. Epub 2013 Jul 31.
To determine the incidence of unanticipated uterine pathologic findings in women undergoing hysterectomy concomitant with minimally invasive sacrocolpopexy.
Retrospective case series (Canadian Task Force classification III).
Four institutions in the United States.
Women undergoing laparoscopic or robotically assisted sacrocolpopexy with hysterectomy.
Concurrent hysterectomy and minimally invasive sacrocolpopexy.
We measured the incidence of clinically important uterine disease at minimally invasive sacrocolpopexy. A total of 324 women underwent concurrent hysterectomy and minimally invasive sacrocolpopexy. Their mean age was 56.1 years, and body mass index was 26.9 kg/m(2). Sixty-four percent were postmenopausal. Only 3 patients (0.92%) had abnormal uterine pathologic findings. No significant differences were noted in age, body mass index, or parity between the women with normal and abnormal uterine pathologic findings. None of the 3 women reported abnormal uterine bleeding before surgery. All lesions were premalignant and focal. No invasive carcinomas were identified. No patients required further follow-up or treatment of abnormal pathologic findings.
The risk of unanticipated uterine pathologic findings during minimally invasive sacrocolpopexy to treat pelvic organ prolapse is low.
确定在接受经微创骶骨阴道固定术联合子宫切除术的女性中，子宫意外病理发现的发生率。
回顾性病例系列（加拿大工作队分类 III 级）。
美国的 4 个机构。
接受腹腔镜或机器人辅助骶骨阴道固定术联合子宫切除术的女性。
同期子宫切除术和微创骶骨阴道固定术。
我们测量了微创骶骨阴道固定术时临床重要子宫疾病的发生率。共有 324 名女性接受了同期子宫切除术和微创骶骨阴道固定术。她们的平均年龄为 56.1 岁，体重指数为 26.9kg/m²。64%的女性处于绝经后状态。仅 3 名患者（0.92%）有异常子宫病理发现。在年龄、体重指数或产次方面，有正常和异常子宫病理发现的女性之间没有显著差异。在手术前，没有任何一名女性报告有异常子宫出血。所有病变均为良性且局限。未发现浸润性癌。没有患者需要进一步随访或治疗异常病理发现。
在治疗盆腔器官脱垂的微创骶骨阴道固定术中，子宫意外病理发现的风险较低。
