Objective To investigate the therapeutic effect of laparoscopic pectopexy on middle compartment pelvic organ prolapse.Methods A total of 40 patients with middle compartment pelvic organ prolapse who underwent elective surgery in Gynecology Department at Shangrao People's Hospital from March 2021 to March 2022 were selected as the study objects and they were grouped into observation group(20 cases)and control group(20 cases)by random number table method.The observation group were treated with laparoscopic pectopexy,and the control group were treated with laparoscopic sacral colpopexy.Surgical situation,intraoperative and postoperative complications,quality of life,and surgical anatomical efficacy were compared between the two groups.Results The blood loss of the observation group was less than that in the control group,and the surgical time,and the length of postoperative hospital stay of the observation group was shorter than that in the control group,and the differences were statistically significant(P<0.05).The pelvic floor distress inventory(PFDI-20)scores and the scores for subscales of the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Postoperative catheter indwelling time,the incidence rates of complications,the total incidence,the objective cure rate and recurrence rate showed no statistically significant differences between groups(P>0.05).Conclusion Laparoscopic pectopexy can shorten surgical time and postoperative hospital stay,reduce intraoperative blood loss,and improve postoperative PFDI-20 scores of patients with middle compartment pelvic organ prolapse.It is com-parable to laparoscopic sacral colpopexy in terms of postoperative complications,objective cure rate and recurrence rate.
关键词
中盆腔器官脱垂/腹腔镜髂耻韧带悬吊术/腹腔镜下骶骨固定术/并发症
Key words
Middle compartment pelvic organ prolapse/Laparoscopic pectopexy/Laparoscopic sacral colpopexy/Compli-cation