Montella Joseph M, Morrill Michelle Y
Department of Obstetrics and Gynecology, Jefferson Medical College, Philadelphia, PA 19107, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2005 May-Jun;16(3):226-9. doi: 10.1007/s00192-004-1246-5. Epub 2004 Oct 28.
The aim of this study was to evaluate the effectiveness of a McCall culdeplasty in maintaining support of the post-hysterectomy vaginal cuff in women undergoing surgery for uterine prolapse. A retrospective chart review was performed on all patients who had a vaginal hysterectomy and McCall culdeplasty for uterine prolapse without prolapse of the posterior vaginal fornix. Patients were examined pre- and postoperatively using the International Continence Society (ICS) staging system. Data were analyzed using repeated measures analysis of variance (ANOVA) for correlation between preoperative point D and the two postoperative point C measurements. Of the 43 patients studied, 39 (90%) had stage 0 prolapse and 3 (7%) had stage I prolapse of the vaginal cuff 1 year postoperatively. In patients who have hysterectomies for uterine prolapse with good support of the posterior vaginal fornix, the McCall culdeplasty is a highly successful procedure in maintaining proper anatomic support of the vaginal cuff.
本研究的目的是评估麦考尔宫颈成形术在接受子宫脱垂手术的女性中维持子宫切除术后阴道残端支撑的有效性。对所有因子宫脱垂且无阴道后穹窿脱垂而接受阴道子宫切除术和麦考尔宫颈成形术的患者进行了回顾性病历审查。术前和术后使用国际尿失禁学会（ICS）分期系统对患者进行检查。使用重复测量方差分析（ANOVA）分析术前D点与术后两个C点测量值之间的相关性数据。在研究的43例患者中，39例（90%）术后1年阴道残端脱垂为0期，3例（7%）为I期。对于因子宫脱垂行子宫切除术且阴道后穹窿支撑良好的患者，麦考尔宫颈成形术在维持阴道残端正确的解剖学支撑方面是一种非常成功的手术。
