广东医学2026，Vol.47Issue(2)：230-234,5.DOI:10.13820/j.cnki.gdyx.20251586
腹腔镜下高位骶韧带悬吊术治疗盆腔器官脱垂患者术后发生并发症的危险因素
Analysis of risk factors for postoperative complications in patients with pelvic organ prolapse treated with laparo-scopic high sacral ligament suspension
摘要
Abstract
Objective To determine the predictors of adverse surgical outcomes in patients with pelvic organ pro-lapse(POP)treated with laparoscopic high sacral ligament suspension(LHUS).Methods A cohort of 160 individuals diagnosed with POP receiving LHUS procedures at our medical center during the 2022 calendar year were retrospectively e-valuated in this clinical investigation.Based on the presence or absence of postoperative complications,patients were cate-gorized into non-complication and complication cohorts.An analysis was conducted to compare the clinical data between the two groups,subsequently employing logistic regression to determine which factors independently predict the develop-ment of postoperative complications.Results 18 patients(11.25％)developed postoperative complications,including 2 cases of haemorrhage or haematoma,1 case of postoperative infection,4 cases of urinary retention,4 cases of urinary in-continence,2 cases of recurrent prolapse and 5 cases of nerve injury.Clinical data showed that the number of deliveries,the number of people with body mass index(BMI)≥25 kg/m2,the number of people with pelvic organ prolapse quantita-tive scale(POP-Q)≥ Ⅲ degree,the amount of intraoperative haemorrhage,and the length of time requiring postopera-tive urinary catheterization were all elevated in the complications cohort compared to the non-complications cohort(P＜0.05).Logistic regression analysis showed that the POP-Q ≥ Ⅲ degree(OR=2.461,95％CI:1.517-3.994),BMI≥25 kg/m2(OR=1.870,95％CI:1.254-2.789),and intraoperative bleeding(OR=1.083,95％CI:1.019-1.151)emerged as significant predictors of postoperative adverse events in POP patients undergoing LHUS treatment(P＜0.05).Conclusion LHUS is safe and effective in treating POP patients,but the occurrence of postoperative complica-tions is related to multiple factors such as patients' BMI,POP-Q score and intraoperative bleeding.Clinical work should pay attention to these factors,and take targeted preventive measures to reduce the incidence of complications.关键词
腹腔镜/高位骶韧带悬吊术/盆腔器官脱垂/术后并发症/危险因素Key words
Laparoscopy/high uterosacralligament suspension/pelvic organ prolapse/postoperative complica-tions/risk factors分类
医药卫生引用本文复制引用
马慧芳,高利伟,徐赛男,栗浩然..腹腔镜下高位骶韧带悬吊术治疗盆腔器官脱垂患者术后发生并发症的危险因素[J].广东医学,2026,47(2):230-234,5.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20250671) （LHGJ20250671）
