盆腔器官脱垂（pelvic organ prolapse，POP）是由于女性盆底肌肉和筋膜等支持组织功能减退导致的盆腔器官下移及功能障碍，发病人群以中老年女性为主，严重影响患者的生活质量。症状性中重度POP的治疗方法以手术为主，腹腔镜骶骨固定术被认定为治疗阴道顶端脱垂或中盆腔缺陷的“金标准”术式，临床根据是否保留子宫或子宫颈分为子宫/子宫颈骶骨固定术和阴道骶骨固定术，前者适用于有保留子宫意愿且排除禁忌证的患者，特别是年轻、性生活活跃的患者。文章就腹腔镜骶骨固定术中保留子宫或子宫颈的利弊进行探讨。

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.