[1]成星函,程蕾,张继梅,等.腹腔镜后路骶棘韧带悬吊术治疗盆腔器官脱垂[J].中国微创外科杂志,2017,17(12):1094-1096.
　Cheng Xinghan,Cheng Lei,Zhang Jimei,et al.Laparoscopic Posterior Approach Sacrospinous Ligament Suspension for Pelvic Organ Prolapse[J].Chinese Journal of Minimally Invasive Surgery,2017,17(12):1094-1096.
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腹腔镜后路骶棘韧带悬吊术治疗盆腔器官脱垂()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年12期
页码:
1094-1096
栏目:
临床研究
出版日期:
2017-12-20

文章信息/Info

Title:
Laparoscopic Posterior Approach Sacrospinous Ligament Suspension for Pelvic Organ Prolapse
作者:
成星函; 程蕾; 张继梅; 左欣曌; 孔伟; 熊光武*
重庆医科大学附属第三医院妇儿中心，重庆401120
Author(s):
Cheng Xinghan;  Cheng Lei;  Zhang Jimei;  et al.
Women & Children Health Centre, The Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China
关键词:
盆腔器官脱垂; 腹腔镜手术; 骶棘韧带悬吊术
Keywords:
Pelvic organ prolapse; Laparoscopy; Sacrospinous ligament suspension
文献标志码:
A
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:
ObjectiveTo explore the safety and feasibility of laparoscopic posterior approach sacrospinous ligament suspension (LPASLS) in the treatment of pelvic organ prolapse (POP).MethodsClinical data of 9 patients with POP treated by LPASLS in our hospital from November 2016 to July 2017 were analyzed retrospectively. All the patients have clinical symptoms. Seven cases were stage Ⅲ on Pelvic Organ Prolapse Quantification (POP-Q), and the other 2 cases had complications after mesh surgery. The subjective cure was defined as no conscious symptom after the operation; the objective cure was defined as postoperative POP-Q stage being 0.ResultsAll the operations were completed successfully. The operative time was 90-140 min (mean, 117.8±20.0 min). The intraoperative blood loss was 30-100 ml (mean, 54.9±24.2 ml). Intraoperative complications occurred in 3 cases. The postoperative sacrococcygeal pain occurred in 5 cases and relieved in 3-4 days. After follow-ups for 4.3±2.1 months (range, 1-8 months), the subjective and objective cure rate were both 100% (9/9). ConclusionLPASLS is safe and feasible in the treatment of pelvic organ prolapse.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，E-mail：xiong-gw@163.com
更新日期/Last Update: 2018-03-21