Collinet P, Cosson M, Crépin G
Pôle de Chirurgie Gynécologique, Clinique de Gynécologie-Obstétrique et Néonatalogie, Hôpital Jeanne de Flandre, CHRU Lille, France.
J Gynecol Obstet Biol Reprod (Paris). 2000 Apr;29(2):197-201.
We describe a new surgical technique (the vaginal plastron) for the treatment of cystocele by the vaginal route. The technique is based on bladder support by a vaginal strip, isolated from the anterior colpocele, left attached to the bladder, associated with a suspension of this strip by its fixation to the tendinous arch of the pelvic fascia by six lateral sutures (3 on each side of the plastron). Proposed as a curative treatment of cystocele and combined with the Richter fixation, the plastron provides a surgical solution to the problem of cystocele relapse arising after vaginal treatment of prolapse by sacro-spino-fixation alone (10 to 20% according to Richter).
我们描述了一种通过阴道途径治疗膀胱膨出的新手术技术（阴道胸甲术）。该技术基于从阴道前膨出分离出的阴道条带对膀胱的支撑，该条带与膀胱相连，并通过六条侧向缝线（胸甲术两侧各3条）将其固定于盆腔筋膜的腱弓来悬吊。作为膀胱膨出的一种根治性治疗方法，并结合里氏固定术，胸甲术为仅通过骶棘肌固定术进行阴道脱垂治疗后出现的膀胱膨出复发问题提供了一种手术解决方案（根据里氏的研究，复发率为10%至20%）。
