Prolapse of Uterus
Conditions
Interventions
Research Group:Preoperative MRA scanning was performed and Mimics 19.0 software was used for pelvic 3D reconstruction to clarify the anatomical parameters of the sacrospinal ligament and its anatomica
Control Group:Transvaginal sacrospinous ligament fixation (traditional empirical surgery)
Sponsors
Xi'an People's Hospital (Xi'an Fourth Hospital)
Eligibility
Sex/Gender
Female
Age
45 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Meets the diagnostic criteria for uterine prolapse, with Pelvic Organ Prolapse Quantification (POP-Q) staging of stage III to IV; 2.Voluntarily agrees to receive sacrospinous ligament fixation (SSLF) surgery and requests uterine preservation; 3.No severe functional impairment of vital organs such as the heart, liver, and kidneys, and can tolerate surgery and anesthesia; 4.No history of pelvic surgery or pelvic radiotherapy; 5.Can cooperate with preoperative magnetic resonance angiography (MRA) examination and postoperative follow-up, and voluntarily signs the informed consent form.
Exclusion criteria
Exclusion criteria: 1.Complicated with diseases that require concurrent hysterectomy, such as cervical neoplasia and endometrial lesions; 2.Has contraindications for magnetic resonance angiography (MRA) examination (e.g., metal implants, claustrophobia); 3.Has a previous history of pelvic surgery or is complicated with genital tract malformations; 4.Has cognitive dysfunction and is unable to cooperate with the study and follow-up; 5.Poor quality of MRA images due to obesity or interference from intestinal gas, resulting in the inability to complete 3D reconstruction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation time;Perioperative bleeding;Postoperative hospital stay;Pelvic Floor Distress Inventory-20 (PFDI-20) score;Recurrence rate of pelvic organ prolapse; | — |
Countries
China
Contacts
Public ContactZhang Chao
Xi'an People's Hospital (Xi'an Fourth Hospital)
Outcome results
None listed