关键词: 盆腔器官脱垂, 腹腔镜阴道骶骨固定术, 腹腔镜子宫/子宫颈骶骨固定术, 保留子宫或子宫颈骶骨固定术

Abstract: Pelvic organ prolapse（POP）is characterized by the downward displacement and disorder of pelvic organs caused by generative changes of pelvic floor muscles，fascia and other supporting tissues.POP is common in middle-aged and elderly women，which seriously impacts the patient's quality of life.Reconstructive surgery is the most effective treatment for symptomatic POP with moderate to severe grade.Laparoscopic sacral colopexy is the gold standard for vaginal apical prolapse and other defects of the middle pelvic department.Clinically，there are three subtypes of surgery derived from this procedure：uterus sparing laparoscopic sacrohysteropexy（LSH），cervix-sparing laparoscopic sacrocervicopexy（LSCP），and laparoscopic sacrocolpopexy（LSC）.Generally，either LSH or LSCP is recommended for young，sexually active patients who wish to preserve the uterus/cervix，and are subject to exclusion of contraindications.This article discusses the clinical value of uterus / cervix preservation in laparoscopic sacral colopexy.

Key words: pelvic organ prolapse, laparoscopic sacrocolpopexy with hysterectomy, laparoscopic sacrohysteropexy/laparoscopic sacrocervicopexy, uterus/cervix-sparing sacral colpopexy