腹腔镜下阴道骶骨固定术应用现况与思考

doi:10.7504/fk2015030108

摘要/Abstract

摘要：

腹腔镜阴道骶骨固定术已成为中盆腔缺陷的金标准术式，已逐渐取代开腹的阴道骶骨固定术。由于手术方式的改进，手术适应证不断地扩大，它不仅可纠正中盆腔缺陷，同时也可纠正重度膀胱膨出或直肠膨出。长期的临床疗效显示：主、客观治愈率高，阴道顶端脱垂的复发率极低，术后对患者生活质量影响少，网片相关并发症在可接受范围。虽然网片的肠道侵蚀罕见，但应强调术后患者的长期随访。腹腔镜子宫骶骨固定术的长期疗效仍待观察。

关键词: 腹腔镜阴道骶骨固定术, 盆腔器官脱垂, 网片

Abstract:

Abstract:Laparoscopic sacrocolpopexy has been the gold standard procedure for the middle pelvic defects reconstruction, which is gradually replacing the abdominal procedure. The indicatioin of laparoscopic sacrocolpopexy is continually expanding with the progress of the surgical technique. It can remedy not only the middle pelvic defects, but also the severe bladder or rectum prolapse. The long-term operation effect shows that the subjective and objective cure rate is high, the recurrence rate of the apical vaginal prolapse is extremely low, the impact on the patients’ life quality is less, and the complications of mesh is in the acceptable range. Although the transrectal mesh erosion is rare, the long-term follow-up postoperatively should also be emphased. The long-term efficacy of laparoscopic sacrohysteropexy remains to be further studied.

Key words: laparoscopic sacrocolpopexy, pelvic organ prolapse, mesh

中图分类号:

R711.5

张晓薇. 腹腔镜下阴道骶骨固定术应用现况与思考[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2015030108.

ZHANG Xiao-wei.. Application status and thinking of laparoscopic sacrocolpopexy and sacrohysteropexy.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2015030108.

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