影响腹腔镜骶骨阴道固定术的症状，健康相关的生活质量和性行为：一项为期3年的前瞻性研究

影响腹腔镜骶骨阴道固定术的症状，健康相关的生活质量和性行为：一项为期3年的前瞻性研究
Impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life and sexuality: A 3-year prospective study
Impact de la promontofixation cœlioscopique sur les symptômes pelviens, la qualité de vie et la sexualité - résultats à 3 ans d’une étude prospective

Summary
Objectives
总结
目标
To evaluate the impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life and sexuality after a 36 month-follow-up. We also reported anatomical outcomes and reoperation rate.
探讨影响腹腔镜骶骨阴道固定术的症状，与健康相关的生活质量和性后随访36个月。我们还报告了解剖结果和再手术率。

Patients and methods
患者和方法
A prospective monocentric study was carried out including 82 women with symptomatic Pelvic Organ Prolapse (POP) stage ≥ 2 according to Pelvic Organ Prolapse Quantification classification. Symptoms were evaluated using the Pelvic Floor Distress Inventory (PFDI-20) and health-related quality of life by the Pelvic Floor Impact Questionnaire (PFIQ-7). Sexual function was evaluated using the Pelvic Incontinence Sexual Questionnaire (PISQ-12). Measurements were recorded at the preoperative examination, then at 3, 12 and 36 months after surgery.
一项前瞻性单中心研究包括82名有症状的盆腔器官脱垂（POP）的阶段≥2根据盆腔器官脱垂定量分类。症状使用盆底压力量表评价（PFDI-20）和健康相关的生活质量由盆底影响问卷（术）。采用盆腔失禁性问卷评价性功能（PISQ-12）。测量记录在术前检查，然后在3，12和36个月后，手术。

Results
结果
PFDI-20 scores were significantly improved at 3 months (91.9 vs. 31.8, P < 0.05) and PFIQ-7 scores also (60.8 vs. 16, P < 0.05). This scores improvement remained significant at 12 months. There was no significant difference between results obtained at 12 and 36 months for PFDI-20 (36.8 vs. 42.2, P > 0.05) and for PFIQ-7 (18.4 vs. 24.7, P > 0.05). PISQ-12 score remained significantly improved at 3, 12 and 36 months compared to baseline (34.8, 35.3, 38.5 and 38.5, respectively). Ten patients (12.8%) had anatomical recurrence at 36 months for posterior compartment, 4 (5.1%) for anterior compartment and 1 (1.2%) for medium compartment. Four patients (4.9%) required reintervention.
PFDI-20评分在3个月内显著提高（91.9对31.8，P＜0.05）和得分（60.8 vs. 16术也，P＜0.05）。这个分数的改善在12个月内仍然显着。在12个月和36个月PFDI-20结果无显著差异（36.8 vs 42.2，P＞0.05）和（18.4比24.7，P术> 0.05）。PISQ-12评分保持在3的显着改善，12个月和36个月前相比，（34.8，35.3，38.5和38.5，分别）。十例（12.8%）在术后36个月内解剖复发，4例（5.1%）为前室，1例（1.2%）为中室。四例患者（4.9%）需要再次手术。

Conclusion
结论
Laparoscopic sacrocolpopexy improved early functional outcome that remained significant after at least a 36 months follow up.
腹腔镜骶骨阴道固定术改进后至少有36个月的随访，在至少36个月的随访后仍然显着。

Keywords
Pelvic organ prolapse; Laparoscopic sacrocolpopexy; PFDI-20; Health-related; Quality of life; PFIQ-7; Sexuality; PISQ-12
关键词
盆腔器官脱垂；腹腔镜骶骨阴道固定术；PFDI-20；健康相关；生活质量；PFIQ-7；性别；PISQ-12

英文原文：
Impact de la promontofixation clioscopique sur les symptmes pelviens, la qualit.pdf (576.35 KB, 下载次数: 0, 售价: 99 香叶)

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Impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life and sexuality: A 3 ...