Of the 78 patients who underwent surgery for POP between January 2017 and June 2022 and postoperative follow-up for at least a year, 40 patients who underwent the Shull method (Shull group) and 38 who underwent the Kakinuma method (Kakinuma group) were retrospectively analyzed.
No significant differences were observed between the two groups in patient background variables such as mean age, parity, body mass index, and POP-Q stage. The mean operative duration and mean blood loss in the Shull group were 140.5 ± 31.7 min and 91.3 ± 96.3 ml, respectively, whereas the respective values in the Kakinuma group were 112.2 ± 25.3 min and 31.4 ± 47.7 ml, respectively. Thus, compared with the Shull group, the operative duration was significantly shorter (P < 0.001) and blood loss was significantly less (P = 0.003) in the Kakinuma group. Recurrence was observed in six patients (15.0%) in the Shull group and two patients (5.3%) in the Kakinuma group. Hence, compared with the Shull group, recurrence was significantly less in the Kakinuma group (P = 0.015). No patients experienced perioperative complications in either group.
The results suggest that the Kakinuma method can serve as a novel and viable NTR procedure for POP.
方法:在2017年1月至2022年6月期间接受POP手术并术后随访至少一年的78例患者中,回顾性分析40例接受Shull方法(Shull组)和38例接受Kakinuma方法(Kakinuma组)的患者。
结果:两组患者背景变量,如平均年龄,奇偶校验,身体质量指数,和POP-Q阶段。Shull组平均手术时间和平均失血量分别为140.5±31.7min和91.3±96.3ml,分别,而Kakinuma组的相应值分别为112.2±25.3分钟和31.4±47.7毫升,分别。因此,与舒尔集团相比,Kakinuma组手术时间明显缩短(P<0.001),失血量明显减少(P=0.003).在Shull组中有6例患者(15.0%)和Kakinuma组中有2例患者(5.3%)复发。因此,与舒尔集团相比,Kakinuma组的复发率明显较低(P=0.015).两组患者均未出现围手术期并发症。
结论:结果表明,Kakinuma方法可以作为POP的一种新颖可行的NTR方法。