Objective To study the clinical efficiency of laparoscopic sacroopexy and vaginal sacrospinous ligament fixation in the treatment of pelvic organ prolapse. Design Retrospective analysis of clinical cases Setting China Population or sample A total of 115 patients admitted to the Second Affiliated Hospital of Anhui Medical University from April 2015 to October 2019. Methods According to different surgical methods, they were divided into two groups. Statistical analysis was performed on the general condition, intraoperative condition, postoperative follow-up subjective recovery and postoperative complications of the enrolled patients. Main outcome measures Clinical efficacy of two different surgical methods in the treatment of pelvic organ prolapse. Results The general information (age,pregnancy history, delivery history, the time of menopause, BMI) and clinical POP-Q stage of the patients were compared, and the results showed that there are no statistically significant difference (P > 0.05). Compared with the LSC group, SSLF group showed significant statistical differences in operation time, intraoperative blood loss, postoperative retention time of urinary catheter, and total cost of hospitalization (P <0.05). The difference of hemoglobin between the SSLF group and the LSC group was statistically significant (P <0.001). In postoperative follow-up, the subjective total cure rate of SSLF and LSC was 95.89% and 86.11% respectively. There was no statistical difference in the subjective cure rate between the two surgical methods (x2 =3.390, P=0.066). Conclusion During the intraoperative and postoperative follow-up, there were statistical differences in multiple factors, indicating that there are differences between the two surgical methods in clinical treatment.

Objective To study clinical efficacy and quality of life of sacrospinous ligament fixation in the treatment of pelvic organ prolapse. Design Retrospective analysis of clinical cases Setting China Population or sample 124 cases of patients with pelvic organ prolapse of The second affiliated hospital of anhui medical university were retrospectively analyzed from January 2013 to December 2019. Methods Perioperative information, postoperative complications, postoperative subjective recovery and postoperative quality of life questionnaire were observed and compared. According to different postoperative follow-up time, patients were divided into the <12 months group, the 12-24 months group, the 24-60 months group and the ≥60 months group, and the subjective postoperative recovery of patients in different groups was counted respectively. Main outcome measures POP-Q stages were in normal position after 3 months of postoperation, and the values of genital hole, perineal body, and total vaginal length were significantly different from those before operation (P<0.001). The results of the pelvic floor dysfunction questionnaire for 19 patients after 12 months of postoperation showed that the total PFDI-20 score was significantly different from that before surgery (P<0.001), the preoperative and postoperative scores of UDI-6(urogenital distress inventory) and POPDI-6(pelvic organ prolapse distress inventory) were significantly different (P<0.001). Preoperative and postoperative hemoglobin difference was statistically significant (P <0.001), while preoperative and postoperative residual urine values were not statistically significant (P >0.05). Conclusion Sacrospinous ligament fixation (SSLF) has a significant effect on the treatment of moderate and severe pelvic organs prolapse, and can effectively restore its anatomical structure.