Abstract：
OBJECTIVE: We aimed to clarify the frequency of cul-de-sac obliteration in patients undergoing POP surgery.
METHODS: We retrospectively reviewed patients who underwent laparoscopic POP surgery at our hospital between April 2017 and September 2021.
RESULTS: In total, 191 cases were included in the analysis. Ten patients (5.2%) had cul-de-sac obliteration. No difference in age (73 years vs. 72 years, P = 0.99), parity (2 vs. 2, P = 0.64), or body mass index (BMI) (25.7 kg/m2 vs. 24.7 kg/m2, P = 0.34) was observed between the cul-de-sac obliteration and normal groups. No significant differences were observed in the rate of previous abdominal surgery (50.0% vs. 32.6%, P = 0.46), rate of POP - quantification system (POP-Q) ≥ 2 posterior prolapse (40.0% vs. 46.4%, P = 0.98), and effect of defecation symptoms on the prolapse quality of life (p-QOL) score (vaginal bulge emptying bowels: 2.5 vs. 3.5, P = 0.15; empty bowel feeling: 3 vs. 3, P = 0.72, constipation: 3.5 vs. 3, P = 0.58; straining to open bowels: 3.5 vs. 3, P = 0.82; empty bowels with fingers: 1 vs. 1, P = 0.55) between the cul-de-sac obliteration and normal groups. Multivariate analysis of risk factors for the cul-de-sac obliteration was performed for age, number of births, previous abdominal surgery, and presence of rectocele; however no significant risk factors were extracted.
CONCLUSIONS: Predicting cul-de-sac obliteration preoperatively in patients undergoing POP surgery based on age, number of previous surgeries, previous abdominal surgeries, rectocele, and defecation symptoms is difficult.
METHODS: We retrospectively reviewed patients who underwent laparoscopic POP surgery at our hospital between April 2017 and September 2021.
RESULTS: In total, 191 cases were included in the analysis. Ten patients (5.2%) had cul-de-sac obliteration. No difference in age (73 years vs. 72 years, P = 0.99), parity (2 vs. 2, P = 0.64), or body mass index (BMI) (25.7 kg/m2 vs. 24.7 kg/m2, P = 0.34) was observed between the cul-de-sac obliteration and normal groups. No significant differences were observed in the rate of previous abdominal surgery (50.0% vs. 32.6%, P = 0.46), rate of POP - quantification system (POP-Q) ≥ 2 posterior prolapse (40.0% vs. 46.4%, P = 0.98), and effect of defecation symptoms on the prolapse quality of life (p-QOL) score (vaginal bulge emptying bowels: 2.5 vs. 3.5, P = 0.15; empty bowel feeling: 3 vs. 3, P = 0.72, constipation: 3.5 vs. 3, P = 0.58; straining to open bowels: 3.5 vs. 3, P = 0.82; empty bowels with fingers: 1 vs. 1, P = 0.55) between the cul-de-sac obliteration and normal groups. Multivariate analysis of risk factors for the cul-de-sac obliteration was performed for age, number of births, previous abdominal surgery, and presence of rectocele; however no significant risk factors were extracted.
CONCLUSIONS: Predicting cul-de-sac obliteration preoperatively in patients undergoing POP surgery based on age, number of previous surgeries, previous abdominal surgeries, rectocele, and defecation symptoms is difficult.
摘要：
目的：我们的目的是阐明POP手术患者的盲囊闭塞频率。
方法：我们回顾性分析了2017年4月至2021年9月在我院接受腹腔镜POP手术的患者。
结果：总计，191例纳入分析。10例患者(5.2%)出现盲囊闭塞。年龄无差异（73岁与72年,P=0.99),奇偶校验(2与2，P=0.64），或体重指数（BMI）（25.7kg/m2vs.24.7kg/m2，P=0.34）。以往腹部手术率无显著差异(50.0%vs.32.6%,P=0.46),POP-定量系统（POP-Q）≥2后部脱垂的发生率（40.0％vs.46.4%,P=0.98),以及排便症状对脱垂生活质量（p-QOL）评分的影响（阴道膨出排便：2.5vs.3.5，P=0.15；空肠感觉：3vs.3，P=0.72，便秘：3.5vs.3，P=0.58；拉肚子：3.5vs.3，P=0.82；手指空肠：1vs.1，P=0.55）。根据年龄,出生人数,以前的腹部手术，和直肠前突的存在；但是没有提取显著的危险因素。
结论：根据年龄预测POP手术患者术前盲囊闭塞，以前的手术数量，以前的腹部手术，直肠膨出,排便症状很困难。
方法：我们回顾性分析了2017年4月至2021年9月在我院接受腹腔镜POP手术的患者。
结果：总计，191例纳入分析。10例患者(5.2%)出现盲囊闭塞。年龄无差异（73岁与72年,P=0.99),奇偶校验(2与2，P=0.64），或体重指数（BMI）（25.7kg/m2vs.24.7kg/m2，P=0.34）。以往腹部手术率无显著差异(50.0%vs.32.6%,P=0.46),POP-定量系统（POP-Q）≥2后部脱垂的发生率（40.0％vs.46.4%,P=0.98),以及排便症状对脱垂生活质量（p-QOL）评分的影响（阴道膨出排便：2.5vs.3.5，P=0.15；空肠感觉：3vs.3，P=0.72，便秘：3.5vs.3，P=0.58；拉肚子：3.5vs.3，P=0.82；手指空肠：1vs.1，P=0.55）。根据年龄,出生人数,以前的腹部手术，和直肠前突的存在；但是没有提取显著的危险因素。
结论：根据年龄预测POP手术患者术前盲囊闭塞，以前的手术数量，以前的腹部手术，直肠膨出,排便症状很困难。
