Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair
Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair
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DOI：
10.1007/s00192-009-1013-8
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发表时间：
2010-03-01
影响因子：
1.8
通讯作者：
Handa, Victoria L.
中科院分区：
文献类型：
--
作者：
Shippey, Stuart H.;Quiroz, Lieschen H.;Handa, Victoria L.
本回顾性队列研究比较了行骶骨阴道固定术伴或不伴阴道旁修补术（PVR）的患者的结局，比较了行骶骨阴道固定术伴（A组）和不伴（B组）PVR患者的结局。将前壁脱垂定义为Ba点/1000日元/1000厘米，我们比较了解剖结果和膀胱膨出复发的再手术率。170例接受骶骨阴道固定术的患者术前有前壁脱垂或超过处女膜（A组62例，B组108例）。A组10例（16.1%）患者和B组29例（26.9%）患者发生前壁脱垂达到或超过-1 cm（p = 0.13，把握度0.38）。在这些组中，1例（1.6%）和5例（4.6%）因膀胱膨出复发而再次手术（p = 0.42，把握度< 0.3）。尽管临床结局有改善的趋势，但我们无法检测到PVR与骶骨阴道固定术之间的统计学显著差异。
We sought to compare rates of recurrent cystocele following sacrocolpopexy with and without paravaginal repair (PVR).This retrospective cohort study compared outcomes for patients undergoing sacrocolpopexy with (group A) and without (group B) concomitant PVR. Defining anterior failure as point Ba a parts per thousand yenaEuro parts per thousand a'1 cm, we compared anatomic outcomes and reoperation rates for recurrence of cystocele.One hundred seventy patients undergoing sacrocolpopexy had anterior wall prolapse at or beyond the hymen before surgery (62 in group A and 108 in group B). Ten (16.1%) patients in group A and 29 (26.9%) in group B experienced anterior wall prolapse to or beyond -1 cm (p = 0.13, power 0.38). Among these groups, one (1.6%) and five (4.6%) underwent reoperation for cystocele recurrence (p = 0.42, power < 0.3).Despite the trend toward improved clinical outcomes, we were unable to detect a statistically significant difference with inclusion of PVR with sacrocolpopexy.