盆腔器官脱垂(pelvicorganprolapse,POP)主要包括阴道前壁脱垂、阴道后壁脱垂以及阴道顶端脱垂,严重影响中老年女性的健康和生活质量。手术常作为首选的治疗方案,目前术式大致可分为传统手术、顶端悬吊术和全盆底重建术三类。其中阴道骶骨固定术被认为是治疗阴道顶端脱垂(I水平缺陷)的“金标准”术式,腹腔镜下阴道骶骨固定术恢复了盆底客观解剖结构,达到了功能复位,提高患者的生活质量,疗效肯定。
阴道骶骨固定术;盆腔器官脱垂;治疗结果
RC
Pelvicorganprolapsemainlyincludesprolapseoftheanteriorwallofthevagina,posteriorwallofthevaginaandthetopofthevagina,whichseriouslyaffectthehealthandqualityoflifeofmiddle-agedandelderlywomen.Surgeryisthepreferredtreatment,andthecurrentsurgicalmethodscanberoughlydividedintothreecategories:traditionalsurgery,apicalsuspensionandtotalpelvicfloorreconstruction.Amongthem,sacralcolpopexyisconsideredtobethegoldenstandardoperationforthetreatmentofvaginalapicalprolapse(Ihorizontaldefect).Thelaparoscopicsacralcolpopexycouldrestoretheobjectiveanatomicalstructureofthepelvic,achievefunctionalreductionandimprovethepatients’qualityoflife,whichhaspositivecurativeeffect.
Laparoscopicsacralcolpopexy;Pelvicorganprolapse;Treatmentout