[1]徐颖,李迎,江小香,等.腹腔镜下侧腹壁悬吊术治疗重度盆腔脏器脱垂的近期疗效评价[J].福建医药杂志,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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腹腔镜下侧腹壁悬吊术治疗重度盆腔脏器脱垂的近期疗效评价()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
45
期数:
2023年02期
页码:
20-22
栏目:
临床研究
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
文章编号:
1002-2600(2023)02-0020-03
作者:
徐颖; 李迎; 江小香; 宋岩峰1; 林超琴2
福建医科大学妇儿临床医学院 福建省妇幼保健院妇科（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
关键词:
盆腔器官脱垂; 腹腔镜侧腹壁悬吊术; 网片
Keywords:
pelvic organ prolapse;  laparoscopic lateral suspension;  mesh
分类号:
R711.23；R713.4+3
文献标志码:
B
摘要:
目的 探讨LLS治疗重度POP的临床疗效。方法 评价60例重度脱垂LLS术后6个月主客观治愈率、复发率及性功能等。结果 术后6个月客观治愈率为96.7%，复发率为3%。与术前比较，PFDI-20（60例）与PISQ-12（33例）明显改善，差别有统计学意义(P<0.01)。结论 LLS主客观治愈率高、手术并发症少、性生活质量明显改善，近期疗效显著。
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.

参考文献/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] 中华医学会妇产科学分会妇科盆底学组.盆腔器官脱垂的中国诊治指南（2020年版）[J].中华妇产科杂志,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.

备注/Memo

备注/Memo:
1 中国人民解放军联勤保障部队第900医院；2 通信作者，Email: yingzilin2020@126.com
更新日期/Last Update: 2023-04-15