Department of Obstetrics and Gynecology, Kutahya Health Sciences University, School of Medicine, Kutahya, Turkey.
Department of Obstetrics and Gynecology, Kocaeli University, School of Medicine, Kocaeli, Turkey.
Eur J Obstet Gynecol Reprod Biol. 2024 Dec;303:132-136. doi: 10.1016/j.ejogrb.2024.10.031. Epub 2024 Oct 24.
We aimed to investigate the effectiveness of the laparoscopic pectopexy procedure in women who want to preserve their uterus for stage III or IV apical prolapse.
132 women who underwent laparoscopic pectopexy due to stage III or IV apical pelvic organ prolapse (POP) were included in this study. Demographic data of the patients, duration of surgery, blood loss, hospitalisation, intraoperative and postoperative complications, recurrence rate were searched from the hospital file archive. Pelvic organ prolapse quantification (POP-Q) system was used at postoperative control visits. The patients' quality of life was evaluated by comparing the results of the pelvic organ quality of life (P-QOL) questionnaire which they filled out at the preoperative and 6th months later.
The patients' mean age was 60(52-66)years. The average duration of the surgery was 110(90-150) minutes. Average blood loss was 150(75-220) ml. No intraoperative or postoperative complications were noted. The average hospitalisation was 2(1-3) days. The average follow-up period was 19 (13-26) months. Apical prolapse recurrence was observed in 3 (2.2 %) patients and laparoscopic sacrohysteropexy was performed. There was a significant improvement in the POP-Q scores of the patients in the postoperative period (p < 0.0001). A significant improvement was detected in the P-QOL total score and all each paramaters after surgery (p < 0.0001).
Laparoscopic pectopexy seems to be a reliable and efficient method for patients in advanced stages apical prolapse whom wants to preservation of the uterus.With all the advantages of minimally invasive surgery, it increases the patients' quality of life.
本研究旨在探讨腹腔镜耻骨宫颈悬吊术（pectopexy）治疗 III 或 IV 期子宫脱垂患者的疗效。
本研究纳入了 132 例因 III 或 IV 期子宫脱垂而接受腹腔镜耻骨宫颈悬吊术的患者。从医院档案中检索患者的人口统计学数据、手术时间、出血量、住院时间、术中及术后并发症、复发率。术后随访采用盆腔器官脱垂定量（POP-Q）系统，采用盆腔器官生活质量问卷（P-QOL）评估患者生活质量，比较患者术前和术后 6 个月的问卷结果。
患者的平均年龄为 60（52-66）岁，手术时间平均为 110（90-150）分钟，平均出血量为 150（75-220）ml，无术中或术后并发症，平均住院时间为 2（1-3）天，平均随访时间为 19（13-26）个月，3 例（2.2%）患者出现顶端脱垂复发，行腹腔镜骶骨子宫固定术。术后 POP-Q 评分明显改善（p<0.0001）。术后 P-QOL 总分及各参数均明显改善（p<0.0001）。
腹腔镜耻骨宫颈悬吊术治疗有保留子宫意愿的晚期子宫脱垂患者安全有效，具有微创治疗的所有优势，提高了患者的生活质量。
