Objective:To investigate the clinical effects of laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse(POP).Methods:Thirty-eight patients who underwent laparoscopic lateral peritoneal suspension ...Objective:To investigate the clinical effects of laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse(POP).Methods:Thirty-eight patients who underwent laparoscopic lateral peritoneal suspension for pelvic organ prolapse in the gynecology department of our hospital from January 2019 to January 2020 were selected for retrospective analysis.Postoperative outcomes were recorded for patients at 3,6,and 12 months postoperatively.Results:All 38 patients completed the surgery safely,and the duration of surgery was 85-190 min,with a mean of(138±40.75)min;surgical bleeding was 30-80 ml,with a mean of(57±35.4)ml;the duration of postoperative catheterization was 4-6 days,with a mean of(5±0.73)days;postoperative hospitalization was 6-12 days,with a mean of(8.49±2.18)days.2.18)days.At 3,6,and 12 months after the end of surgery,all follow-up patients had their uterus and anterior vaginal wall restored to normal position without prolapse.The pelvic floor rehabilitation of the patients after surgery was good and their sexual life was significantly improved in all cases.Conclusion:Laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse is safe,efficacious,minimally traumatic,less painful,with short hospital stay,fast postoperative recovery,greater choice of uterine de-positioning,with the advantages of permanence and good pelvic floor anatomical recovery,and this procedure can maintain a certain vaginal length with 100%efficiency,which is worthy of clinical promotion.展开更多
目的探讨腹腔镜子宫骶韧带高位两段四点悬吊术治疗盆腔器官脱垂(pelvic organ prolapse,POP)合并慢性盆腔痛(chronic pelvic pain,CPP)的近期疗效。方法回顾性分析2019年1月~2021年1月腹腔镜子宫骶韧带高位两段阴道顶端四点悬吊术治疗PO...目的探讨腹腔镜子宫骶韧带高位两段四点悬吊术治疗盆腔器官脱垂(pelvic organ prolapse,POP)合并慢性盆腔痛(chronic pelvic pain,CPP)的近期疗效。方法回顾性分析2019年1月~2021年1月腹腔镜子宫骶韧带高位两段阴道顶端四点悬吊术治疗POP合并CPP 52例资料。POP-QⅠ度21例,Ⅱ度22例,Ⅲ度9例。CPP轻度16例,中度31例,重度5例。术前及术后3、6、12个月进行POP-Q评分、PFDI-20量表评分及盆底肌肉疼痛评分评估疗效。结果52例术中、术后均无严重并发症发生。术后12个月48例脱垂分度降级,POP客观治愈率88%(46/52);49例PFDI-20量表所有项目评分≤60分,POP主观治愈率94%(49/52);49例盆底肌肉疼痛评分较前下降≥50%,CPP治疗有效率94%(49/52)。结论腹腔镜子宫骶韧带高位两段四点悬吊术对POP合并CPP有良好疗效。展开更多
文摘Objective:To investigate the clinical effects of laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse(POP).Methods:Thirty-eight patients who underwent laparoscopic lateral peritoneal suspension for pelvic organ prolapse in the gynecology department of our hospital from January 2019 to January 2020 were selected for retrospective analysis.Postoperative outcomes were recorded for patients at 3,6,and 12 months postoperatively.Results:All 38 patients completed the surgery safely,and the duration of surgery was 85-190 min,with a mean of(138±40.75)min;surgical bleeding was 30-80 ml,with a mean of(57±35.4)ml;the duration of postoperative catheterization was 4-6 days,with a mean of(5±0.73)days;postoperative hospitalization was 6-12 days,with a mean of(8.49±2.18)days.2.18)days.At 3,6,and 12 months after the end of surgery,all follow-up patients had their uterus and anterior vaginal wall restored to normal position without prolapse.The pelvic floor rehabilitation of the patients after surgery was good and their sexual life was significantly improved in all cases.Conclusion:Laparoscopic lateral peritoneal suspension for severe pelvic organ prolapse is safe,efficacious,minimally traumatic,less painful,with short hospital stay,fast postoperative recovery,greater choice of uterine de-positioning,with the advantages of permanence and good pelvic floor anatomical recovery,and this procedure can maintain a certain vaginal length with 100%efficiency,which is worthy of clinical promotion.
