Acta Metallurgica Sinica

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Clinical value of sacrocolpopexy.

  

  1. Department of Gynecology,Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200090,China
  • Online:2020-10-02 Published:2020-10-22

骶骨固定术临床价值分析

  

  1. 复旦大学附属妇产科医院妇科,上海200090
  • 通讯作者: 华克勤
  • 基金资助:
    上海市科学技术科研基金(16411963700)

Abstract: Sacrocolpopexy is the suspension of the vaginal vault or uterus on to the anterior longitudinal ligament at the level of the sacrum,using a prosthetic material or other grafts.Sacrocolpopexy is a classic surgical procedure for pelvic organ prolapse,being developed from abdominal sacrocolpopexy,to laparoscopic sacrocolpopexy,and to transvaginal single port laparoscopic sacrocolpopexy(VLSC).The VLSC,as a newly-emerged minimally invasive surgical technique,combines the advantage of the vaginal surgery and laparoscopic surgery.This minimally invasive surgery has the following advantages,such as better cosmetic outcomes,less postoperative pain,faster recovery,higher subjective and objective cure rate,and less complications associated with mesh,which is expected to become a common surgery for POP in the near future.

Key words: sacrocolpopexy, pelvic organ prolapse, transvaginal single port laparoscopic sacrocolpopexy

摘要: 骶骨固定术是利用网片或其他移植物,将阴道顶或子宫固定于骶骨前纵韧带,用于治疗盆腔器官脱垂(pelvic organ prolapse,POP)的一种经典手术方式,其发展史经历了从开腹到腹腔镜再到经阴道单孔腹腔镜的不断改良和完善的过程。近年来,新兴的经阴道单孔腹腔镜骶骨固定术(transvaginal single port laparoscopic sacrocolpopexy,VLSC),结合了阴式手术与腹腔镜手术的优点,不仅具有腹壁无瘢痕、术后疼痛更轻、恢复更快等更加微创的优点,而且具有较高的主观和客观治愈率,以及较低的网片相关并发症,有望成为治疗POP的常规术式。

关键词: 骶骨固定术, 盆腔器官脱垂, 经阴道单孔腹腔镜

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