摘要
目的:探讨经阴道骶棘韧带固定术治疗盆腔器官脱垂的临床疗效和手术技巧。方法:对该院妇科自2005年11月～2008年8月收治的41例盆腔器官脱垂(子宫脱垂,阴道顶端脱垂)的患者进行了经阴道骶棘韧带固定术,分析其临床疗效,并进行2年的随访观察。结果:所有患者均成功进行该术式治疗,术中无1例发生术中、术后出血或脏器损伤。有3例术后腰骶部疼痛多天,但术后1～3周左右均症状缓解出院。41例患者术后均恢复良好,术后病率4例,术后无1例复发,术后随访平均10个月(1～24月),主观治愈(术后患者无任何自觉症状)率和客观治愈(术后子宫脱垂和阴道穹窿脱垂POP-Q分期为0期)率均为100%。结论:对子宫脱垂和/或阴道顶端脱垂的患者施行经阴道骶棘韧带固定术矫治阴道穹隆膨出是一种安全、简单、有效的微创手术。
Objective： To explore the clinical effect and surgical techniques of transvaginal sacrospinous ligament fixation in the treatment of pelvic organ prolapse. Methods： 41 cases with pelvic organ prolapse （uterine prolapse and vaginal top prolapse） underwent transvaginal sacrospinous ligament fixation from November 2005 to August 2008, the effect of operation was analyzed and all the cases were followed up for two years. Results： All the cases completed the operation successfully, no complications occurred such as hemorrhage and organ injury during and after the operation. Only 3 cases had lumbosacral and breech pain for several days and the symptoms relieved before discharge. All the 41 cases recovered well after the operation, 4 cases had postoperative morbidity and no one relapsed. After 10 months of follow -up, the subjective and objective cure rates were all 100%. Conclusion： Transvaginal sacrospinous ligament fixation is a safe, simple, effective and minimally invasive operation for patients with pelvic organ prolapse.
出处
《中国妇幼保健》
CAS
北大核心
2009年第25期3507-3509,共3页
Maternal and Child Health Care of China
基金
佛山市科技局计划内科研项目〔200608055〕
关键词
阴道
骶棘韧带固定术
盆腔器官脱垂
Vagina
Sacrospinous ligament fixation
Pelvic organ prolapse
