Cardone A, Ambrosio D, Tirabasso S, Menditto A, Piscopo L, Musone R, Salzano P
Istituto di Clinica Ostetrica e Ginecologica, II Università degli Studi, Napoli.
Minerva Chir. 2000 May;55(5):325-8.
In our study we evaluate a personally developed surgical technique that, when used for abdominal hysterectomy, helps prevent posthysterectomy vaginal wall prolapse.
We have used this modified surgical procedure in 244 consecutive abdominal hysterectomies performed from January 1973 through December 1986, compared with 133 abdominal hysterectomies performed without this new procedure. Patients returned monthly and annually thereafter for follow-up. The longest follow-up period to date is 12 years.
Of the 244 patients in our study followed up for 12 years, 234 (95.9%) retained excellent vaginal support. Vaginal wall prolapse occurred in 10 patients (4.1%), and it was asymptomatic prolapse, with the vaginal wall descending less than halfway from the ischial spines to the hymen.
This procedure is an acceptable method to help prevent posthysterectomy vaginal wall prolapse.
在我们的研究中，我们评估了一种个人研发的手术技术，该技术用于腹部子宫切除术中时，有助于预防子宫切除术后阴道壁脱垂。
从1973年1月至1986年12月，我们在连续244例腹部子宫切除术中使用了这种改良手术方法，并与133例未采用这种新方法的腹部子宫切除术进行了比较。患者术后每月复诊一次，此后每年复诊一次以进行随访。迄今为止最长的随访期为12年。
在我们研究的244例随访12年的患者中，234例（95.9%）保持了良好的阴道支撑。10例患者（4.1%）发生了阴道壁脱垂，且为无症状脱垂，阴道壁从坐骨棘下降至处女膜的距离不到一半。
该手术方法是预防子宫切除术后阴道壁脱垂的一种可接受的方法。
