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[1]徐穎,李迎,江小香,等.腹腔鏡下側(cè)腹壁懸吊術(shù)治療重度盆腔臟器脫垂的近期療效評(píng)價(jià)[J].福建醫(yī)藥雜志,2023,45(02):20-22.
 XU Ying,LI Ying,JIANG Xiaoxiang,et al.Evaluation of short-term efficacy of laparoscopic lateral suspension in treatment of severe pelvic organ prolapse[J].FUJIAN MEDICAL JOURNAL,2023,45(02):20-22.
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腹腔鏡下側(cè)腹壁懸吊術(shù)治療重度盆腔臟器脫垂的近期療效評(píng)價(jià)()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
45
期數(shù):
2023年02期
頁(yè)碼:
20-22
欄目:
臨床研究
出版日期:
2023-04-15

文章信息/Info

Title:
Evaluation of short-term efficacy of laparoscopic lateral suspension in treatment of severe pelvic organ prolapse
文章編號(hào):
1002-2600(2023)02-0020-03
作者:
徐穎李迎江小香宋巖峰1林超琴2
福建醫(yī)科大學(xué)婦兒臨床醫(yī)學(xué)院 福建省婦幼保健院婦科(福州 350001)
Author(s):
XU Ying LI Ying JIANG Xiaoxiang SONG Yanfeng LIN Chaoqin
Department of Gynecology, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics&Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian 350001, China
關(guān)鍵詞:
盆腔器官脫垂腹腔鏡側(cè)腹壁懸吊術(shù)網(wǎng)片
Keywords:
pelvic organ prolapse laparoscopic lateral suspension mesh
分類號(hào):
R711.23;R713.4+3
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討LLS治療重度POP的臨床療效。方法 評(píng)價(jià)60例重度脫垂LLS術(shù)后6個(gè)月主客觀治愈率、復(fù)發(fā)率及性功能等。結(jié)果 術(shù)后6個(gè)月客觀治愈率為96.7%,復(fù)發(fā)率為3%。與術(shù)前比較,PFDI-20(60例)與PISQ-12(33例)明顯改善,差別有統(tǒng)計(jì)學(xué)意義(P<0.01)。結(jié)論 LLS主客觀治愈率高、手術(shù)并發(fā)癥少、性生活質(zhì)量明顯改善,近期療效顯著。
Abstract:
Objective To investigate the clinical efficacy of LLS in the treatment of severe POP. Methods Sixty patients with severe anterior vaginal or apical prolapse who underwent LLS were enrolled. The 6-month post-operative anatomical cure and recurrence rate and the subjective cure rate as well as the sexual function were evaluated. Results After 6-month follow-up, the overall anatomical success rate and the recurrence rate was 96.7% and 3% respectively. The postoperative PFDI-20 score in 60 cases and PISQ-12 score in 33 cases improved significantly compared with preoperative ones (P<0.05). Conclusion LLS technique could be safe and effective with high objective and subjective cure rate and low complications as well as significantly improved quality of sexual activity in severe POP after short-term follow-up.

參考文獻(xiàn)/References:

[1] Pang H,Zhang L,Han S,et al.A nationwide population-based survey on the prevalence and risk factors of symptomatic pelvic organ prolapse in adult women in China: A pelvic organ prolapse quantification system-based study[J].BJOG,2021,128(8):1313-1323.
[2] Dallenbach P.Laparoscopic lateral suspension (LLS) for the treatment of apical prolapse: a new gold standard[J].Front Surg,2022,(9): 89-92.
[3] 中華醫(yī)學(xué)會(huì)婦產(chǎn)科學(xué)分會(huì)婦科盆底學(xué)組.盆腔器官脫垂的中國(guó)診治指南(2020年版)[J].中華婦產(chǎn)科雜志,2020,55(5):300-306.
[4] Dubuisson J B,Veit-Rubin N,Wenger J M,et al.Laparoscopic lateral suspension,another way to treat genital prolapse[J].Gynecol Obstet Fertil Senol,2017,45(1): 32-36.
[5] Swift S,Morris S,Mckinnie V,et al.Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system[J].Int Urogynecol J,2006,17:615-620.
[6] Giuseppe C,Lorerzo V,Giovanni P,et al.Laparoscopic lateral suspension for pelvic organ prolapse: A systematic literature review[J].European J Obstetrics & Gynecology and Reproductive Biology,2021,264:318-329.

備注/Memo

備注/Memo:
1 中國(guó)人民解放軍聯(lián)勤保障部隊(duì)第900醫(yī)院;2 通信作者,Email: [email protected]
更新日期/Last Update: 2023-04-15