Clinical efficacy study of transvaginal ischia spinous fascia fixation in the treatment of pelvic organ prolapse
10.19405/j.cnki.issn1000-1492.2024.05.024
- Author:
Wei He
1
;
Yachen Qiu
1
;
Ying Yang
1
;
Qingyuan Wang
1
;
Junchi Zou
1
;
Wenyan Wang
1
Author Information
1. Dept of Obstetrics and Gynecology, The Second Afiliated Hospital of Anhui Medical University, Hefei 230601
- Publication Type:Journal Article
- Keywords:
ischia spinous fascia fixation;
sacrospinous ligament fixation;
pelvic organ prolapse;
prolapse quality of life questionnaire;
gynecologic surgical procedures
- From:
Acta Universitatis Medicinalis Anhui
2024;59(5):894-897
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To explore the safety and effectiveness of transvaginal ischia spinous fascia fixation for pelvic
organ prolapse.
Methods :The retrospective analysis of 124 patients who underwent surgical treatment for stage III
- IV pelvic organ prolapse was conducted. Among them , 53 cases of transvaginal ischia spinous fascia fixation (IS⁃ FF) were performed as a study group (ISFF group) while 71 cases of transvaginal sacrospinous ligament fixation (SSLF) were performed as a control group (SSLF group) . The operation time , postoperative hospitalization days , preoperative and postoperative hemoglobin values , indwelling urinary catheter time , postoperative pain scores , and the occurrence of complications were compared between the two groups , and the efficacy of the operation was objectively evaluated by using the staging method of pelvic organ prolapse (POP⁃Q) . Also the scores of the pelvic floor impact questionnaire⁃7 (PFIQ⁃7) , the pelvic floor dysfunction questionnaire⁃20 (PFDI⁃20) , and the questionnaire of quality of life 12 (PISQ⁃12) were used to evaluate the patients ′ postoperative quality of life.
Results :The operation time and postoperative hospitalization days of patients in the ISFF group were less than those in the SSLF group , and the differences were statistically significant (P < 0. 05) . The preoperative and postoperative hemoglobin values , retention time of urinary catheter, postoperative pain scores , and hospitalization costs of patients in the two groups were compared , and the differences were not statistically significant. At the 3 ⁃month postoperative outpatient follow⁃up , the objective success rate was 100% in two groups. The median follow⁃up time of patients in both groups was 24 months ( 12 - 41 months) , and there were 2 cases of recurrence in the ISFF group , with a recurrence rate of 3. 77% and a subjective success rate of 96. 23% . While there were 3 cases of recurrence in the SSLF group and 2 cases of loss of visit , with a recurrence rate of 4. 34% and a subjective success rate of 95. 65% . 1 patient in the SSLF group presented with a pelvic hematoma with a diameter of about 5 cm after surgery. The hematoma disappeared after hemostasis and other symptomatic treatment. There was no organ injury or blood transfusion in both groups.
Conclusion :Transvaginal ischia spinous fascia fixation is a safe and effective treatment for pelvic organ prolapse , and it has the advantages of short operation time , fast postoperative recovery , fewer complications , and improvement of patients ′ quality of life.
- Full text:2024073022504681488经阴道坐骨棘筋膜固定术治疗盆腔器官脱垂的临床疗效研究_何为.pdf
