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| Clinical efficacy of laparoscopic sacroligament suspension and transvaginal sacrospinous ligament fixation for treating moderate and severe uterine prolapse |
| Zhoukou Central Hospital, Henan Province, 466000 |
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Abstract To analyze the clinical efficacy of laparoscopic sacroligament suspension (LSC) and transvaginal sacrospinous ligament fixation (SSLF) for treating moderate and severe uterine prolapse. Methods: 91 patients with uterine prolapse from January 2017 to January 2020 were selected as study subjects and were divided into 45 cases experienced LSC in group A and 46 cases experienced SSLF in group B according to the principle of random numbers. Postoperative followed up was conducted for 6 months to compare perioperative indicators, POP-Q data scores, sexual life quality, and life quality of the patients between the two groups. Results: Compared with those of the patients in group B, the patients in group A had longer operation time (149.0±48.8 min vs 61.3±29.4 min), less intraoperative blood loss (48.3±10.1 ml vs 55.6± 15.4 ml), shorter indwelling catheter time (1.8±0.6 d vs 2.9±0.6 d) (P＜0.05), and had no difference in prolapse recurrence rate (2.2% vs 4.4%) in 6 months after operation (P＞0.05). 6 months after operation, the scores of each point index data of POP-Q, such as Aa, Ba C, Ap, and Bp, and the scores of sexual life quality (PISQ-12) scale, and the scores of pelvic dysfunction questionnaire (PFDI-20), and the scores of the quality of life questionnaire short form (PFIQ-7) of the women were significant better than those of the women before operation, and the scores of A set of C, PISQ-12, PFDI-20, PFIQ-7 of the women in group A were significant better than those of the women in group B (all P＜0.05). Conclusion: Both LSC and SSLF for treating moderate and severe uterine prolapse have good efficacy, though LSC needs longer operation time, it can improve the postoperative sexual life quality and life quality.
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