腹腔镜侧位悬吊术与网片治疗严重的前部和顶部盆腔器官脱垂:一项关于两年随访安全性和有效性的观察性队列研究。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Archives of Gynecology and Obstetrics Pub Date : 2024-10-23 DOI:10.1007/s00404-024-07792-9
Xiao-Xiao Wang, Ying Xu, Yan-Feng Song, Chao-Qin Lin, Xiao-Xiang Jiang
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引用次数: 0

摘要

目的:本研究旨在探讨腹腔镜侧悬吊术(LLS)联合网片治疗重度前侧和顶端盆腔器官脱垂(POP)中国女性的临床安全性和有效性,并进行为期两年的随访:我们进行了一项观察性队列研究。方法:我们进行了一项观察性队列研究,共纳入了 60 名出现顶端(子宫阴道或穹隆)和前部脱垂的 3 期或 3 期以上的患者。LLS手术按照Dubuisson标准操作进行。对主客观治愈率以及手术相关并发症进行了评估。术前和术后24个月的随访中,采用POP相关问卷对生活质量进行了评估:结果:随访2年后,前房的客观治愈率为88.3%,顶房为100%,后房为93.3%。主观治愈率达到 93.3%。所有妇女术后的盆底影响问卷-7(PFIQ-7)和盆底困扰清单-简表-20(PFDI-20)得分均有统计学意义的降低,而盆腔器官脱垂-尿失禁性问卷-12(PISQ-12)的得分与她们相似(P = 0.317)。在尿失禁问卷简表(ICI-Q-SF)的国际咨询中也无明显差异(P = 0.551)。我们的研究未发现与 LLS 相关的重大并发症:我们认为,经过 2 年的随访,带网片的 LLS 手术对于矫正严重的顶端和前方 POP 是安全、可行和有效的。
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Laparoscopic lateral suspension with mesh for severe anterior and apical pelvic organ prolapse: an observational cohort study for safety and efficacy at 2-year follow-up.

Purpose: This study aimed to investigate the clinical safety and efficacy of laparoscopic lateral suspension (LLS) with mesh in the treatment of severe anterior and apical pelvic organ prolapse (POP) Chinese women with a 2-year follow-up.

Methods: We conducted an observational cohort study. Sixty patients who presented apical (uterovaginal or vault) and anterior prolapse at stage 3 or higher were enrolled. The LLS surgical procedure was performed in accordance with Dubuisson standard operation. The objective and subjective cures as well as the surgery-related complications were evaluated. The POP-related questionnaires were used to evaluate the quality of life before operation and at 24 months after operation follow-up.

Results: Objective cure rates at 2 years of follow-up were 88.3% for the anterior compartment, 100% for the apical compartment and 93.3% for the posterior compartment. The subjective cure rate reached to 93.3%. There were statistically significant lower scores of the pelvic floor impact questionnaire-7 (PFIQ-7) and the pelvic floor distress inventory-short form-20 (PFDI-20) for all women after surgery and they exhibited similar scores of the pelvic organ prolapsed-urinary incontinence sexual questionnaire-12 (PISQ-12) (P = 0.317). And no significant difference was demonstrated in international consultation on the incontinent questionnaire short form (ICI-Q-SF) (P = 0.551). No major complications associated with LLS were observed in our study.

Conclusion: We consider that LLS with mesh operation is safe, feasible and effective to correct severe apical and anterior POP after 2-year follow-up.

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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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