腹腔镜后路骶棘韧带悬吊术治疗盆腔器官脱垂

发布时间：2019-01-20 11:40

【摘要】：目的探讨腹腔镜后路骶棘韧带悬吊术(laparoscopic posterior approach sacrospinous ligament suspension,LPASLS)治疗盆腔器官脱垂(pelvic organ prolapse,POP)的安全性和可行性。方法回顾性分析2016年11月~2017年7月9例LPASLS治疗盆腔器官脱垂的临床资料。7例为POP-Q分度Ⅲ度,2例为网片悬吊术后并发症。主观治愈定义为术后患者无任何自觉症状;客观治愈定义为术后盆腔器官脱垂POP-Q分度为0度。结果腹腔镜后路骶棘韧带悬吊术均顺利完成,其中7例同时行全子宫切除,8例行阴道前壁修补,1例行阴道后壁修补,3例行会阴修补。手术时间90~140(117.8±20.0)min。术中出血30~100(54.9±24.2)ml。术中并发症3例,包括1例乙状结肠浆肌层损伤,1例膀胱浆肌层损伤,1例盆底血管损伤。术后5例骶尾部疼痛不适感,均在3~4天自行缓解。术后随访1~8(4.3±2.1)月,主观治愈率和客观治愈率均为100%(9/9)。结论对于盆腔器官脱垂,腹腔镜后路骶棘韧带悬吊术是安全、可行的。
[Abstract]:Objective to investigate the safety and feasibility of laparoscopic posterior sacrospinous ligament suspension (laparoscopic posterior approach sacrospinous ligament suspension,LPASLS) in the treatment of pelvic organ prolapse (pelvic organ prolapse,POP). Methods the clinical data of 9 cases of pelvic organ prolapse treated with LPASLS from November 2016 to July 2017 were retrospectively analyzed. 7 cases were classified as 鈪，

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