使用自切网片的腹腔镜骶骨整形术对盆腔脏器脱垂的疗效。

IF 0.7 Q4 UROLOGY & NEPHROLOGY
Urology Annals Pub Date : 2024-10-01 Epub Date: 2024-10-16 DOI:10.4103/ua.ua_142_21
Alfa Putri Meutia, Suskhan Djusad, Tyas Priyatini, Kevin Yonathan, Tokumasa Hayashi, Jimmy Nomura
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引用次数: 0

摘要

研究目的该研究旨在调查使用自切网片作为盆腔器官脱垂治疗方法的腹腔镜骶骨整形术(LSC)的长期效果和并发症发生率:2013年1月至2018年1月,龟田医疗中心对接受LSC手术的患者进行了一项回顾性队列研究。本研究的数据来自所有使用自切聚丙烯网片接受 LSC 治疗的盆腔器官脱垂女性患者。曾接受过子宫切除术的患者不在研究范围内。使用盆腔器官脱垂定量法(POP-Q)和尿失禁国际咨询问卷简表(ICIQ-SF)对患者进行术前评估、术后 6 个月和 1 年随访:共有702名受试者符合纳入和排除标准。记录了受试者的临床特征。入院时、术后 6 个月和 1 年的得分分别为POP Q 评分6.50 ± 5.69 vs. 5.11 ± 4.85 vs. 4.78 ± 4.31,P = 0.049;ICIQ SF 评分:2.92 ± 0.62 vs. 1.10 ± 0.36 vs. 1.13 ± 0.41,P < 0.001)。受试者共观察到 17 例(2.4%)围术期和术后并发症:结论:在6个月和1年的随访中,使用自切网片的LSC可为盆腔器官脱垂患者带来令人满意的效果,且围术期并发症极少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes of laparoscopic sacrocolpopexy using self-cut mesh on pelvic organ prolapse.

Objectives: The objective of the study was to investigate the long-term outcome and complication rate of laparoscopic sacrocolpopexy (LSC) using self-cut mesh as pelvic organ prolapse treatment.

Methods: A retrospective cohort study on patients undergoing LSC was done at Kameda Medical Center from January 2013 to January 2018. Data for this study were taken from all women with pelvic organ prolapse who had undergone LSC using self-cut polypropylene mesh. Patients with a previous history of hysterectomy were excluded from the study. An evaluation was done preoperatively, on 6-month and 1-year postoperative follow-up period using Pelvic Organ Prolapse Quantification (POP-Q) and The International Consultation on Incontinence Questionnaire-short form (ICIQ-SF) questionnaire.

Results: There were 702 subjects who met the inclusion and exclusion criteria. The clinical characteristics of the subjects were recorded. The scores during admission, 6 months and 1 year postoperative are: POP Q scores: 6.50 ± 5.69 vs. 5.11 ± 4.85 vs. 4.78 ± 4.31, P = 0.049 and ICIQ SF scores: 2.92 ± 0.62 vs. 1.10 ± 0.36 vs. 1.13 ± 0.41, P < 0.001). A total of 17 (2.4%) perioperative and postoperative complications were observed on subjects.

Conclusion: LSC using self-cut mesh could produce satisfactory results in pelvic organ prolapse patients on 6-month and 1-year follow-up period with minimal perioperative complications.

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来源期刊
Urology Annals
Urology Annals UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
59
审稿时长
31 weeks
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