术后恢复和并发症的比较：腹腔镜骶骨阴道固定术与经阴道骶棘韧带悬吊术
Comparison of postoperative recovery and complications: laparoscopic sacrocolpopexy versus transvaginal sacrospinous ligament suspension.
摘要(中文译文)
本研究旨在明确对于中重度子宫脱垂及阴道壁脱垂患者，腹腔镜骶骨阴道固定术（LSC）与经阴道骶棘韧带悬吊术（TSS）在功能恢复及并发症发生率方面是否存在差异。我们开展了一项回顾性队列研究，纳入2021年4月至2023年2月期间接受手术的321例患者。参与者分为LSC组（n=163）和TSS组（n=158）。由于盆腔器官脱垂可能在分娩后发生，故对两组的并发症发生率及复发率进行比较。采用logistic回归分析与复发相关的因素。与LSC相比，TSS手术时间更短、出血量更少、肛门排气恢复更快。两组在盆腔器官脱垂定量评分、盆底困扰量表-20及盆腔器官脱垂/尿失禁性功能问卷-12方面均有改善，且LSC组改善更为显著。TSS与更高的尿失禁发生率及复发率相关（5.52% vs. 13.29%）。多因素分析显示，TSS、既往盆腔手术史及联合腔室脱垂是复发的危险因素，而年龄<60岁及体重指数<24 kg/m²为保护因素。对于中重度子宫及阴道壁脱垂且身体状况适合手术的患者，与TSS相比，LSC能提供更优的盆底解剖恢复、生活质量改善及复发控制。对于无法耐受腹腔镜手术的患者，TSS仍是一种安全的替代方案，两种术式的总体安全性相当。
Abstract
The goal of this study was to determine whether functional recovery and complication rates differed between laparoscopic sacrocolpopexy (LSC) and transvaginal sacrospinous ligament suspension (TSS) in patients with moderate-to-severe uterine prolapse and vaginal wall prolapse. We conducted a retrospective cohort study of 321 patients who underwent surgery between April 2021 and February 2023. Participants were divided into an LSC group (n=163) and a TSS group (n=158). Since pelvic organ prolapse may occur following childbirth, complication and recurrence rates were compared between groups. Factors associated with recurrence were analyzed using logistic regression. Compared to LSC, TSS had shorter operation time, less blood loss, and faster return of flatus. Both groups improved in pelvic organ prolapse quantification scores, pelvic floor distress inventory-20, and pelvic organ prolapse/urinary incontinence sexual questionnaire-12, with greater improvement in the LSC group. TSS was associated with higher rates of urinary incontinence and recurrence (5.52% vs. 13.29%). Multivariate analysis showed TSS, prior pelvic surgery, and combined compartment prolapse were risk factors for recurrence, while age <60 and body mass index <24 kg/m were protective. In patients with moderate-to-severe uterine and vaginal wall prolapse who are medically fit, LSC provides superior pelvic floor anatomical restoration, quality of life improvement, and recurrence control compared to TSS. For patients who cannot tolerate laparoscopic surgery, TSS remains a safe alternative, with both procedures demonstrating comparable overall safety.
如何引用
AMA
Hangjuan Liu, Yaping Gong, Dan Li, Yaoyang Bo. Comparison of postoperative recovery and complications: laparoscopic sacrocolpopexy versus transvaginal sacrospinous ligament suspension.. American journal of translational research. 2026; doi:10.62347/AOHR4310.
APA
Hangjuan Liu, Yaping Gong, Dan Li, Yaoyang Bo (2026). Comparison of postoperative recovery and complications: laparoscopic sacrocolpopexy versus transvaginal sacrospinous ligament suspension.. American journal of translational research. https://doi.org/10.62347/AOHR4310
GB/T 7714
Hangjuan Liu, Yaping Gong, Dan Li, Yaoyang Bo. Comparison of postoperative recovery and complications: laparoscopic sacrocolpopexy versus transvaginal sacrospinous ligament suspension.[J]. American journal of translational research, 2026 doi:10.62347/AOHR4310.
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