Zhao Xin, Niu Jumin, Liu Yansong
Shenyang Women's and Children's Hospital, Shengyang, China.
Front Surg. 2023 Jan 10;9:1054008. doi: 10.3389/fsurg.2022.1054008. eCollection 2022.
To evaluate and analyze the clinical effect of the combination of laparoscopic sacrocolpopexy (LSC), sacral ligament fusion and vaginal suspension in the treatment of severe pelvic organ prolapse.
A total of 76 cases of patients with pelvic organ prolapse in our hospital between January 2010 to December 2020 were enrolled for research. They had been evaluated pre- and post-operative through pelvic organ prolapse quantification (POP-Q) system, Pelvic Floor Dysfunction Questionnaire Short Form (PFDI-20), Pelvic Floor Function Impact Questionnaire Short form (PFIQ-7), and the Sexual Function Questionnaire Score (PIQS-31).
All 76 patients went through the procedure successfully without any complications. None of the 76 cases had relapsed. Post-operational results of PFDI-20 and PFIQ-7 were evidently lower than pre-operational results, post-operational results of PIQS-31 were higher than before operation.
For patients with severe pelvic organ prolapse,a balanced control of the pelvic floor centred on the preservation of the stereoscopic ring around the cervix through revascularization is significantly effective, and has no recurrence after surgery, high patient satisfaction, fewer postoperative complications. It is safe and reliable and worthy of clinical application and promotion.
评估和分析腹腔镜骶骨阴道固定术（LSC）、骶韧带融合术和阴道悬吊术联合治疗重度盆腔器官脱垂的临床效果。
选取2010年1月至2020年12月我院收治的76例盆腔器官脱垂患者进行研究。术前和术后通过盆腔器官脱垂定量（POP-Q）系统、盆底功能障碍问卷简表（PFDI-20）、盆底功能影响问卷简表（PFIQ-7）以及性功能问卷评分（PIQS-31）对患者进行评估。
76例患者均顺利完成手术，无任何并发症发生。76例患者均无复发。PFDI-20和PFIQ-7术后结果明显低于术前，PIQS-31术后结果高于术前。
对于重度盆腔器官脱垂患者，以保留宫颈周围立体环为中心、通过血管重建实现盆底的平衡控制显著有效，术后无复发，患者满意度高，术后并发症少。安全可靠，值得临床应用和推广。
