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OA

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.