CAJ | 학술논문

目的：探讨腹腔镜阴道骶前固定术（ laparoscopic sacrocolpopexy ， LSC ）治疗女性盆腔器官脱垂（ pelvic organ prolapse， POP）的临床疗效和安全性。方法2013年2～11月因妇科疾病行子宫切除术同时行LSC治疗POP 19例。切除子宫后、沿右侧结肠沟打开后腹膜，将已裁好网片平铺于腹膜后，将网片一端缝合在整个阴道残端，另一端固定于骶岬的前纵韧带上，使网片平整无张力，关闭后腹膜。结果手术时间（116．7±32．8） min，术中出血量（73．3±47．5） ml，住院时间（5．0±1．9）d。19例随访8～19个月，平均11个月，客观治愈率为100％，主观满意度100％。结论 LSC创伤小，能够恢复和保持阴道长度，术后并发症少，防止阴道残端脱垂疗效肯定。
목적：탐토복강경음도저전고정술（ laparoscopic sacrocolpopexy ， LSC ）치료녀성분강기관탈수（ pelvic organ prolapse， POP）적림상료효화안전성。방법2013년2～11월인부과질병행자궁절제술동시행LSC치료POP 19례。절제자궁후、연우측결장구타개후복막，장이재호망편평포우복막후，장망편일단봉합재정개음도잔단，령일단고정우저갑적전종인대상，사망편평정무장력，관폐후복막。결과수술시간（116．7±32．8） min，술중출혈량（73．3±47．5） ml，주원시간（5．0±1．9）d。19례수방8～19개월，평균11개월，객관치유솔위100％，주관만의도100％。결론 LSC창상소，능구회복화보지음도장도，술후병발증소，방지음도잔단탈수료효긍정。
Objective To explore the outcomes and safety of laparoscopic sacrocolpopexy ( LSC) for pelvic organ prolapse (POP). Methods A total of 19 women with gynecological diseases underwent hysterectomy and LSC for treating POP in our hospital from February 2013 to November 2013.After appropriate dissection a polypropylene mesh was attached to the sacral promontory and to the vaginal vault by sutures .The mesh material was then covered by the peritoneum .The operation time, intraoperative bleeding , anatomy and function recovery , postoperative complications , clinical symptoms , and satisfaction degree of patients after surgery were observed . Results The mean operation time was (116.7 ±32.8) min, and the mean blood loss was (73.3 ±47.5) ml.The mean hospital stay was (5.0 ±1.9) days.All the 19 cases were followed up for 8-19 months ( mean, 11 months).The overall objective cure rate was 100%, and the satisfaction rate was 100%. Conclusion Laparoscopic sacrocolpopexyis keeps vaginal length and has few complications , being an option for women with vaginal vault prolapse .