Do Pelvic Organ Prolapse Quantification Examination Ba and D Guide the Selection of Operation for Severe Pelvic Organ Prolapse?
Do Pelvic Organ Prolapse Quantification Examination Ba and D Guide the Selection of Operation for Severe Pelvic Organ Prolapse?
复制标题
盆腔器官脱垂量化检查Ba和D能否指导重度盆腔器官脱垂手术的选择？
DOI：
10.1080/08941939.2018.1533055
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发表时间：
2020-05
期刊：
影响因子：
--
通讯作者：
Zhiyuan Dai
中科院分区：
文献类型：
--
作者：
Chunbo Li;Huimin Shu;Zhiyuan Dai
摘要目的：为了确定术前Ba和D点是否可以帮助指导POP.Materials和Methods的手术程序的选择：这项前瞻性队列研究包括250名受试者从2012年1月至2015年6月前/根尖缺损。所有受试者均接受了完整的术前评估，并完成了12个月的随访。根据术前盆腔器官脱垂定量（POP-Q）的Ba和D点的联系，将患者分为两组：137例接受前阴道补片修补术（AVM）的患者和113例接受AVM联合骶棘韧带固定术（SSLF）的患者。主要结局为两种手术的解剖学治愈率和复发率。次要结果是脱垂症状，生活质量和性功能，基于有效的问卷调查。还记录了两组的并发症。结果：两组术前均质。AVM组阴道前室、阴道顶室和阴道后室的解剖成功率分别为99.2%、97.0%和97.7%。对于接受AVM-SSLF的患者，前室、顶室和后室的解剖成功率分别为96.1%、98.1%和98.1%。两种技术的复发率均较低。两种手术在术后1年随访后的生活质量（QOL）、脱垂症状和性功能方面均得到显著改善。结论：术前Ba和D点与治疗前/心尖脱垂的手术选择相关，进一步决定脱垂支持的手术结局。
Abstract Purpose: To determine whether the preoperative Ba and D point could help to guide the choice of surgical procedure for POP. Materials and Methods: This prospective cohort study included 250 subjects with anterior/apical defect from January 2012 to June 2015. All subjects underwent a complete preoperative evaluation and completed 12 months of follow-up. Based on the connection of preoperative Ba and D point of Pelvic Organ Prolapse Quantification (POP-Q), patients were assigned two groups: 137 patients who underwent anterior vaginal repair with mesh (AVM) and 113 patients who underwent AVM combined with sacrospinous ligament fixation (SSLF). The primary outcomes were anatomical cure and recurrence rate of both procedures. Secondary outcomes were prolapse symptom, quality of life and sexual function based upon validated questionnaires. The complications were also recorded in both groups. Results: Both groups were homogeneous preoperatively. The anatomical success rates for the anterior, apical and posterior vaginal compartments were 99.2%, 97.0% and 97.7% in the AVM group, respectively. For patients who underwent AVM-SSLF, the anatomical success rates for the anterior, apical and posterior compartments were 96.1%, 98.1% and 98.1%, respectively. The recurrence for both techniques was low. Both procedures presented a significant improvement with regard to postoperative quality of life (QOL), prolapse symptoms, and sexual function after 1-year follow-up. Conclusion: The preoperative Ba and D point correlated with surgical choice for the treatment of anterior/apical prolapse, which further decided the surgical outcomes for prolapse support.
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影响因子：
1.8
作者：
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