Laparoscopic sacrospinous ligament fixation for uterovaginal prolapse: experience with 93 cases
Laparoscopic sacrospinous ligament fixation for uterovaginal prolapse: experience with 93 cases
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DOI：
10.1007/s00192-010-1232-z
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发表时间：
2011-01-01
影响因子：
1.8
通讯作者：
Xu, Huicheng
中科院分区：
文献类型：
--
作者：
Wang, Yanzhou;Wang, Dan;Xu, Huicheng
本研究的目的是探讨腹腔镜骶棘韧带固定术（LSSLF）治疗子宫阴道脱垂的技术、有效性和安全性，从2004年5月至2006年12月，93例患者在重庆西南医院接受了LSSLF。所有患者都有3级或4级子宫阴道脱垂。所有患者均采用LSSLF完成手术。LSSLF平均时间为65 min，平均失血量为105 ml。膀胱损伤4例（4.3%）。平均随访18个月。93例患者中，87例（93.5%）的穹窿或子宫阴道脱垂已治愈。术后并发症少，子宫阴道脱垂患者可顺利完成LSSLF。是一种安全有效的治疗子宫阴道脱垂的方法。长期随访是观察疗效和远期并发症的必要手段。
The aim of this study was to investigate the technique, efficacy, and safety of laparoscopic sacrospinous ligament fixation (LSSLF) for patients with uterovaginal prolapse.From May 2004 to December 2006, 93 patients underwent LSSLF at Southwest Hospital, Chongqing, China. All patients had either grade 3 or 4 uterovaginal prolapse. The surgical results and complications were evaluated.All patients had their surgery completed by LSSLF. The average time for LSSLF was 65 min. The average blood loss was 105 ml. Bladder was injured in four cases (4.3%). The mean follow-up was 18 months. Of the 93 patients, 87 (93.5%) had been cured of their vault or uterovaginal prolapse. Minor postoperative complications were observed.LSSLF can be successfully completed in patients with uterovaginal prolapse. It is a safe and effective treatment method for patients with uterovaginal prolapse. A long-term follow-up is necessary to detect therapeutic effect and late complication.