Two Surgery Treatments Of Uterine Prolapse Clinical Evaluation

Objective: To compare the clinical efficacy of laparoscopic hysterectomy and transvaginal sacral ligament suspension,as a reference to develop tailored treatment plans for future uterine prolapse patients.Methods:30 referencing subjects were diagnosed as pelvic prolapse between September2014 and June 2015 in the affiliated hospital of Zunyi Medical College.15 cases of those patients were treated with laparoscopic sacral hysteropexy(group L)and the other 15 were treated with sacrospinous ligament fixation(group S).Operation time and blood loss for these two treatments were brought into consideration and their efficacy was assessed by POP-Q measurement.Regarding to the level of pelvic dysfunctionality and after-operation sexual quality of life,these two criteria were measured by pelvic prolapse questionnaire and quality of life questionnaire respectively.Results:The operation time and blood group L were less than that in group S(P<0.05).The postoperative POP-Q parameters showed that situations of both groups were improved(p<0.05)and the difference between the two groups were insignificant(p>0.05).Although the sexual quality of life questionnaire(PISQ-12)points out that both approaches were effective(p<0.05),with the better sexual quality in group L than group S.However,after treatments,both groups showed worse pelvic functionality with statistical significance(p<0.05),says the pelvic prolapse questionnaire(PFDI-20)and the pelvic floor impact questionnaire(PFIQ-7).The relapse of the disease in group L and S was similar(p>0.05).Conclusion:(1)Both of two methods are able to against pelvic prolapse,resulting in a better quality of life.(2)Laparoscopic sacral hysteropexy can bring a superior postoperative sexual quality of life than sacrospinous ligament fixation,and this way is a competitive approach because of its a series of advantages,including better operation visibility,less blood loss,shorter hospitalization time and better postoperative sexual quality of life etc.,but this technique demands highly skillful in handling laparoscopy.(3)When patients can not endure general anesthesia because of some underlying diseases,sacrospinous ligament fixation is a more appropriate method.