ObjectiveTo explore the efficacy and safety of uterosacral ligament and pubovaginalis in the treatment of anterior pelvic organ prolapse. MethodsA total of 30 patients with severe uterine prolapse and anterior pelvic organ prolapse,were treated by transvaginal panhysterectomy,suture of uterosacral ligament and pubovaginalis,sacrospinous ligament fixation and posterior wall neoplasty. Operation time, blood loss, intraoperative and postoperative complications were recorded. The surgical treatment effect was evaluate by POP-Q. And preoperative and postoperative quality of life score was evaluated by Pelvic Floor Distress Inventory-20 (PFDI-20), Pelvic Floor Impact Questionnaire-7 (PFIQ-7). Results①The average operation time was (95.3±22.5)min,the average bleeding volume was (210.3±70.8)mL,the time of urinary catheter was (3.2±1.6)d,the average length of hospital stay was (6.2±2.3)d. No bladder injury,rectum injury and sciatic nerve injury were observed. ②All the patients were followed up for 12-20 months, the median follow-up time was 14 months. After postoperative one year, the length of Aa、Ba、C、Bp and Ap were all better than those before surgery,the difference had statistical significance(P＜0.01). The postoperative scores of PFDI-20 and PFIQ-7 were decreased compared with those before sugery(32.40±6.53 VS 91.43±13.86; 27.16±8.11 VS 93.00±14.55),the difference had statistical significance(P＜0.01). ConclusionSuture of sacral ligament and pubovaginalis can not only effectively recover patients’ antomical structure, but also can significantly improve patients′ quality of life. With small intraoperative bladder injury, less postoperative mesh exposure, the operation is valuable to be used in clinical application.

无