常规器械直视下骶棘韧带固定术治疗盆腔脏器脱垂的临床分析

Clinical analysis of sacrospinous ligament fixation with conventional surgical instrument undeRdirect vision in treatment of pelvic organ prolapse

目的探讨常规器械直视下骶棘韧带固定术治疗盆腔脏器脱垂的有效性与安全性。方法回顾性分析接受常规器械直视下骶棘韧带固定术的14例盆腔脏器脱垂患者的临床资料,分析临床疗效及并发症发生情况。结果本组患者手术均顺利完成,无术中及术后大出血或严重脏器损伤情况发生,亦无其他术后并发症。术后随访3~24个月,平均11个月,本组患者术后均恢复良好,无1例复发,无任何脱垂自觉症状,临床满意度高。术后3个月盆腔器官脱垂定量分度法(POP-Q)评估结果显示,本组手术成功率为100%。结论常规器械直视下骶棘韧带固定术治疗盆腔脏器脱垂是安全、有效的。

Objective To explore the effectiveness and safety of sacrospinous ligament fixation with conventional surgical instrument undeRdirect vision in the treatment of pelvic organ prolapse.Methods Clinical data of 14 patients who had pelvic organ prolapse undergoing sacrospinous ligament fixation with conventional surgical instrument undeRdirect vision was retrospectively analyzed,and the clinical efficacy and incidence of complications were analyzed.Results All patients successfully completed the operation,no intraoperative and postoperative hemorrhage oRsevere organ damage occurred,and no otheRpostoperative complications were observed.The follow-up was 3 to 24 months afteRsurgery,with an average of 11 months.All the patients,with higheRclinical satisfaction,recovered well afteRsurgery,re-occurrence was not found in these patients.No relapse and subjective symptoms were found.The Pelvic Organ Prolapse Quantitation(POP-Q)results at 3 months afteRsurgery showed a 100%success rate.Conclusions Sacrospinous ligament fixation with conventional surgical instrument undeRdirect vision in the treatment of pelvic organ prolapse is a safe and an effective method.