Sheng Qingsong, Ma Ning, Huang Huijuan, Xu Bo, He Chunni, Song Yanfeng
Department of Obstetrics and Gynecology, Fuzhou General Hospital/Dongfang Hospital, Xiamen University Fuzhou 350025, China.
Department of Medical Administration, Fuzhou General Hospital/Dongfang Hospital, Xiamen University Fuzhou 350025, China.
Int J Clin Exp Pathol. 2015 Jan 1;8(1):900-5. eCollection 2015.
Recently, increasing evidence has shown that uterus preservation is beneficial for pelvic organ prolapse (POP) patients, both physiologically and psychologically. However, the preoperative indicators for uterus preservation have rarely been examined. The current study was designed to determine the relationship between the preoperative evaluated uterus weight and the operation selection (preserving the uterus or not) in pelvic reconstructive surgery (PRS) using vaginal meshes. First, in a series of 96 patients undergoing hysterectomy, the uterine weight was calculated by preoperative ultrasound measurements, and was then compared with the postoperative actual weight of the uterus. Subsequently, in a series of 65 patients undergone PRS using vaginal meshes and preserving the uterus, the uterine weight was calculated by preoperative ultrasound measurements. Lastly, in a series of 43 patients with a uterine weight > 56.12 g who had undergone PRS using vaginal meshes, the operation success rate in patients with a preserved uterus was compared to patients for whom the uterus was not preserved. The results showed that uterus weight can be evaluated by ultrasound and used as a preoperative indicator for whether the uterus should be preserved or not in PRS when using vaginal meshes. It was indicated that preoperative evaluation of uterine weight is beneficial for surgical planning and guidance.
最近，越来越多的证据表明，保留子宫对盆腔器官脱垂（POP）患者在生理和心理方面均有益处。然而，术前保留子宫的指标很少被研究。本研究旨在确定在使用阴道网片的盆腔重建手术（PRS）中，术前评估的子宫重量与手术选择（保留子宫与否）之间的关系。首先，在一系列96例行子宫切除术的患者中，通过术前超声测量计算子宫重量，然后将其与术后子宫的实际重量进行比较。随后，在一系列65例行使用阴道网片并保留子宫的PRS患者中，通过术前超声测量计算子宫重量。最后，在一系列43例子宫重量>56.12 g且行使用阴道网片的PRS患者中，比较保留子宫患者与未保留子宫患者的手术成功率。结果表明，子宫重量可通过超声评估，并可作为使用阴道网片的PRS中是否保留子宫的术前指标。这表明术前评估子宫重量有利于手术规划和指导。
