Analysis of risk factors associated with surgical failure of sacrospinous suspension for uterine or vaginal vault prolapse

被引：12

作者：

Chen, Huey-Yi ^{[1
,2
]}

Chiu, Tsan-Hung ^{[1
,3
]}

Ho, Ming ^{[1
]}

Hung, Yao-Ching ^{[1
,4
]}

机构：

[1] China Med Univ Hosp, Dept Obstet & Gynecol, Taichung 404, Taiwan

[2] China Med Univ, Grad Inst Integrated Med, Taichung, Taiwan

[3] China Med Univ, Sch Chinese Med, Taichung, Taiwan

[4] China Med Univ, Sch Med, Taichung, Taiwan

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2009年 / 20卷 / 04期

关键词：

Sacrospinous suspension; Uterine prolapse; Vaginal vault prolapse; PELVIC ORGAN PROLAPSE; UTEROVAGINAL PROLAPSE; LIGAMENT SUSPENSION; URINARY-INCONTINENCE; SUPPORT DEFECTS; FIXATION; RECONSTRUCTION; HYSTERECTOMY; HYSTEROPEXY; ANTERIOR;

D O I：

10.1007/s00192-008-0780-y

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The goal of this study was to analyze the potential risk factors determining surgical failure after sacrospinous suspension for uterine or vaginal vault prolapse. Each woman underwent a detailed history taking and a vaginal examination before treatment. Follow-up evaluations were at immediate post-operation, 1 week, 1 to 3 months, 6 months, 9 months, and annually after the operation. The surgical failure rate (27/168) following sacrospinous suspension was 16.1%. Using multivariable logistic regression, women with the presence of C or D point stage I at immediate post-operation were a significant risk factor for surgical failure after sacrospinous suspension (odds ratio, 35.34; 95% confidence interval, 8.75-162.75; p < 0.001). The success rate during the 18-month follow-up decreased significantly in women with the presence of C or D point stage I at immediate post-operation than stage 0. Although the sample size of women with symptomatic uterine or vaginal vault prolapse is small, impaired correction of anatomic defects is a significant risk factor for surgical failure of sacrospinous suspension.

引用

页码：387 / 391

页数：5

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