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首页> 外文期刊>Gynecologie, obstetrique & fertilit >(Functional results and quality of life of laparoscopic promontofixation in the cure of genital prolapse).
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(Functional results and quality of life of laparoscopic promontofixation in the cure of genital prolapse).

机译：腹腔镜前固定术治疗生殖器脱垂的功能结果和生活质量

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OBJECTIVE: To evaluate the feasibility and morbidity of laparoscopic promontofixation in the cure of genital prolapse. PATIENTS AND METHOD: From March 2001 to January 2009, 101 patients with genital prolapse of grade greater than or equal to 2 (POPQ classification) were operated by laparoscopy. Complications per and postoperative as well as patient satisfaction were assessed. Quality of life was evaluated using the questionnaires Pelvic Floor Distress Inventory (PFDI 20), Pelvic Floor Impact Questionnaire (PISQ 7) and Pelvic Organ Prolaps/Urinary Incontinence Sexual Questionnaire (PISQ 12). RESULTS: The mean operative time was 196 min including the time for hysterectomy done in 83% of cases. The peroperative complication rate was 7% including two bladder and one rectal injuries and 4% of laparoconversion. The postoperative complication rate was 16% corresponding to 3/4 of retention of urine. Two pelvic hematomas were observed. The distance complication rate was 3% corresponding to a vaginal erosion, a spondylodiscitis and a case of persistent pelvic pain requiring removal of material. With a mean follow-up of 30.7 months, 81% patients declared themselves satisfied with the intervention. In intention to treat, the satisfaction rate was only 67.3%. A significant improvement in quality of life was observed using the questionnaire PFDI 20 (p < 0.0001), PFIQ 7 (p < 0.0001) et PISQ 12 (p < 0.001). DISCUSSION AND CONCLUSION: Our results confirm the feasibility of the laparoscopic promontofixation with a quality of life improvement but also highlights the existence of significant morbidity requiring further trials for the choice of surgical approach for the treatment of genital prolapse.
机译：目的：探讨腹腔镜前固定术治疗生殖器脱垂的可行性和发病率。患者与方法：自2001年3月至2009年1月，通过腹腔镜手术对101例生殖器脱垂程度大于或等于2（POPQ分类）的患者进行了手术。评估每次手术的并发症以及患者的满意度。使用骨盆底困扰量表（PFDI 20），骨盆底影响问卷（PISQ 7）和骨盆器官/尿失禁性问卷（PISQ 12）评估生活质量。结果：83％的患者平均手术时间为196分钟，包括子宫切除术的时间。围手术期并发症发生率为7％，包括2例膀胱和1例直肠损伤以及4％的腹腔镜手术。术后并发症发生率为16％，相当于尿retention留的3/4。观察到两个盆腔血肿。距离并发症发生率为3％，对应于阴道糜烂，脊椎盘炎和需要去除材料的持续性骨盆疼痛。平均随访30.7个月，有81％的患者对干预表示满意。治疗意愿满意率仅为67.3％。使用问卷PFDI 20（p <0.0001），PFIQ 7（p <0.0001）和PISQ 12（p <0.001）观察到生活质量有了显着改善。讨论与结论：我们的研究结果证实了腹腔镜前固定术具有改善生活质量的可行性，但同时也强调了存在明显的发病率，需要进一步试验以选择手术方法治疗生殖器脱垂。

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