Comparison of clinical effects between sacrospinous ligament fixation and extraperitoneal high uterosacral ligament suspension for patients: A retrospective cohort clinical trials

IF 1.6 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of Obstetrics and Gynaecology Research Pub Date : 2025-03-11 DOI:10.1111/jog.16264

Jiaoyang Song, Xiaohui Sun, Bing Xie, Shiyan Wang, Lei Gao, Xiuli Sun

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引用次数: 0

Abstract

Aim

The aim of the study is to compare the effect of extraperitoneal high uterosacral ligament suspension (EHUS) and sacrospinous ligament fixation on lower urinary tract symptoms (LUTS) and anatomical reduction in patients with pelvic organ prolapse (POP).

Methods

This retrospective cohort study concluded 91 patients with POP who underwent EHUS or sacrospinous ligament fixation (SSLF) for apical repair. The primary outcome was the effect of the two operations on anatomical reduction. The main secondary outcomes included improvement of questionnaire scores, satisfaction, and subjective prolapse rate. Categorical variables, Student's t test, and the Mann–Whitney U test were used for analysis.

Results

All patients' scores of POP-Q were significantly improved after surgery. The scores of urinary frequency and urgency in the SSLF group improved significantly from 6 months after surgery, with statistical significance (p < 0.05), while the scores of nocturia and urgency in the EHUS group improved from 1 month after surgery (p < 0.05). The scores of questionnaires in both groups were significantly lower than those before surgery, while the EHUS group showed more significant improvement (p < 0.05).

Conclusion

EHUS is easy to operate, has a short operative time, fewer perioperative and postoperative complications, and the apical can be suspended well if the prolapse is not severe. It also has a certain degree of relief for LUTS, which is a new type of operation that is worthy of clinical promotion.

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骶棘韧带固定与腹膜外高位子宫骶韧带悬吊治疗患者的临床效果比较：回顾性队列临床试验

目的比较腹腔外高位子宫骶韧带悬吊术（EHUS）与骶棘韧带固定术对盆腔器官脱垂（POP）患者下尿路症状（LUTS）及解剖复位的影响。方法回顾性队列研究91例POP患者，采用EHUS或骶棘韧带固定（SSLF）进行根尖修复。主要结果是两次手术对解剖复位的影响。主要次要结局包括问卷评分、满意度和主观脱垂率的改善。采用分类变量、Student’st检验和Mann-Whitney U检验进行分析。结果术后所有患者的POP-Q评分均有明显改善。SSLF组尿频、尿急评分自术后6个月起显著改善，差异有统计学意义（p < 0.05），而EHUS组夜尿、尿急评分自术后1个月起改善（p < 0.05）。两组患者问卷得分均显著低于术前，EHUS组改善更显著（p < 0.05）。结论EHUS术操作简单，手术时间短，围术期及术后并发症少，脱垂不严重时可很好地悬吊根尖。对LUTS也有一定的缓解作用，是一种值得临床推广的新型手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Obstetrics and Gynaecology Research 医学-妇产科学

CiteScore

3.10

自引率

0.00%

发文量

376

审稿时长

3-6 weeks

期刊介绍： The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.