Objective To investigate the clinical efficacy and safety of transvaginal high sacrospinous ligament suspen-sion using a new pelvic floor puncture guide for the treatment of pelvic organ prolapse.Methods It is a retrospective study of forty-two patients with pelvic organ prolapse admitted to the First Affiliated Hospital of Soochow University,who underwent transvaginal high sacrospinous ligament suspension using a new pelvic floor puncture guide between April 2020 and November 2022.Postoperative MRI scans were performed,and a normal control group of twenty-four female patients without pelvic floor dysfunction was included for comparative analysis of vaginal elevation angles.Changes in quality of life were evaluated using the Pelvic Floor Dysfunction Questionnaire(PFDI-20).Results MRI scans revealed no significant difference in vaginal elevation angles between postoperative patients and the normal group(P＞0.05).Spearman's correlation test indicated no significant correlation between vaginal elevation angles and demographic vari-ables(age,number of pregnancy and delivery,BMI).The PFDI-20 scores of patients after operation were significantly lower than those before the operation(P＜0.05).Conclusion Transvaginal high sacrospinous ligament suspension us-ing a new pelvic floor puncture guide is an innovative,convenient,efficient,and safe surgical approach,and the use of the instrument allows access to the high anatomical point.It represents an effective treatment option for pelvic organ pro-lapse,which preserves the normal vaginal axis,improves pelvic floor dysfunction,optimize quality of life,and demon-strates good clinical outcomes.
关键词
盆腔器官脱垂/新型盆底穿刺引导器/经阴道高位骶棘韧带固定术/女性盆底解剖
Key words
pelvic organ prolapse/new pelvic floor puncture guide/transvaginal high sacrospinous ligament suspen-sion/female pelvic floor anatomy
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