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腹腔镜骶骨阴道固定术作为盆腔器官脱垂的首选治疗方法的安全性和有效性。

Safety and effectiveness of laparoscopic sacrocolpopexy as the treatment of choice for pelvic organ prolapse.

作者信息

Mourad Sherif, El Shawaf Hisham, Farouk Ahmed, Maged Hisham Abdel, Noweir Amr, Deval Bruno

机构信息

Department of Urology, Ain Shams University Hospitals, Cairo, Egypt.

Geoffroy Saint Hilaire, Ramsay GDS, Paris V, France.

出版信息

Arab J Urol. 2019 Apr 1;17(1):30-39. doi: 10.1080/2090598X.2019.1589781. eCollection 2019 Mar.

Abstract

: To evaluate the safety and effectiveness of laparoscopic sacrocolpopexy (LSC)/laparoscopic sacrohysteropexy (LSH) at 1-year follow-up for female pelvic-organ prolapse (POP). : In all, 52 patients were included and underwent LSC/LSH in the Eldemerdash Hospital, Ain Shams University, Cairo, Egypt. All patients with POP, with Grade ≥II of any anatomical site (anterior, posterior or combined) who were medically fit for general anaesthesia, were included in the study. Patients with previous major abdominal surgery, a body mass index (BMI) of >40 kg/m or un-correctable bleeding diatheses, were excluded. Preoperative data, peri- and postoperative functional and anatomical outcomes were assessed. The patients were followed-up at 3, 6 and 12 months postoperatively. : Pre- and postoperative data were available for the 52 patients operated on for POP. The subjective cure rate was 92.3% and the objective cure rate was 98.1%. Failure was defined as recurrence of Grade ≥II POP. : LSC/LSH is a safe and effective procedure for the treatment of female POP due to its durable results and low rates of complications with high objective and subjective cure rates. : BMI: body mass index; (RA)LSC: (robot-assisted) laparoscopic sacrocolpopexy; LSH: laparoscopic sacrohysteropexy; PFDI-20: Pelvic Floor Distress Inventory; PFIQ-7: Pelvic Floor Impact Questionnaire; POP: pelvic-organ prolapse; QoL: quality of life; SUI: stress urinary incontinence; TVM: total transvaginal mesh; VVP: vaginal vault prolapse.

摘要

评估腹腔镜骶骨阴道固定术(LSC)/腹腔镜骶骨子宫固定术(LSH)治疗女性盆腔器官脱垂(POP)1年随访时的安全性和有效性。

埃及开罗艾因夏姆斯大学埃尔德梅达什医院共纳入52例患者并接受了LSC/LSH手术。纳入研究的所有患者均为POP患者,任何解剖部位(前部、后部或联合)脱垂程度≥II级且适合全身麻醉。排除既往有重大腹部手术史、体重指数(BMI)>40 kg/m²或有不可纠正的出血性疾病的患者。评估术前数据、围手术期及术后的功能和解剖学结果。术后3、6和12个月对患者进行随访。

52例接受POP手术的患者有术前和术后数据。主观治愈率为92.3%,客观治愈率为98.1%。失败定义为POP复发且程度≥II级。

LSC/LSH是治疗女性POP的一种安全有效的手术,因其疗效持久、并发症发生率低、客观和主观治愈率高。

BMI

体重指数;(RA)LSC:(机器人辅助)腹腔镜骶骨阴道固定术;LSH:腹腔镜骶骨子宫固定术;PFDI-20:盆底困扰量表;PFIQ-7:盆底影响问卷;POP:盆腔器官脱垂;QoL:生活质量;SUI:压力性尿失禁;TVM:全阴道网片;VVP:阴道穹窿脱垂

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfcb/7567316/f7708e53229b/TAJU_A_1589781_F0001_OC.jpg

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