Li Chunbo, Dai Zhiyuan, Shu Huimin
Department of Gynaecology and Obstetrics, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
J Obstet Gynaecol Res. 2019 Sep;45(9):1918-1924. doi: 10.1111/jog.14035. Epub 2019 Jul 1.
To demonstrate the efficacy and safety of a modified technique of laparoscopic inguinal ligament suspension (LILS) with hysterectomy for the treatment of uterovaginal prolapse.
A total of 57 patients were treated by LILS combined with hysterectomy between Jan 2014 and Feb 2016. The perioperative parameters, such as operative time, estimated blood loss, length of stay and intra- and postoperative complications were recorded. The Pelvic Organ Prolapse questionnaire classification was applied to evaluate the Pelvic Organ Prolapse stage, and Patient Global Impression of Improvement scale was used to determine the patients' satisfaction. Pelvic Floor Distress Inventory-20 and Pelvic Floor Impact Questionnaire were used to evaluate the functional improvement. All data were collected preoperatively and then at 12 months postoperatively.
The mean surgical time was 130.4 (82-190) min, the average blood loss was 50.4 (10-300) mL and the mean hospitalization was 5.3 (4-8) days. The rates of intra- and postoperative complications were low. After a minimal of 12 months follow-up, the anatomical success rate was 85.5%, and the subjective satisfaction rate was 92.7%. The functional measures also presented a significant improvement with no recurrence of prolapse.
LILS combined with hysterectomy was a safe and effective technique and might be considered as an alternative treatment for patients with uterovaginal prolapse.
探讨改良腹腔镜腹股沟韧带悬吊术（LILS）联合子宫切除术治疗子宫阴道脱垂的疗效及安全性。
2014年1月至2016年2月，共57例患者接受LILS联合子宫切除术治疗。记录手术时间、估计失血量、住院时间及术中、术后并发症等围手术期参数。采用盆腔器官脱垂问卷分类法评估盆腔器官脱垂分期，采用患者总体改善印象量表评估患者满意度。采用盆底困扰量表-20和盆底影响问卷评估功能改善情况。所有数据于术前及术后12个月收集。
平均手术时间为130.4（82 - 190）分钟，平均失血量为50.4（10 - 300）毫升，平均住院时间为5.3（4 - 8）天。术中及术后并发症发生率较低。经过至少12个月的随访，解剖学成功率为85.5%，主观满意度为92.7%。功能指标也有显著改善，且脱垂无复发。
LILS联合子宫切除术是一种安全有效的技术，可作为子宫阴道脱垂患者的替代治疗方法。
