Varma R, Kunde D
Department of Obstetrics and Gynaecology, Basildon University Hospital, Basildon, UK.
J Obstet Gynaecol. 2006 Apr;26(3):253-4. doi: 10.1080/01443610500537997.
A new two-stage surgical procedure to treat massive pelvic organ prolapse in elderly women is described. Four women in whom previous pessary treatment had failed (two of these had also tried and failed the double ring pessary) or was not possible due to poor pelvic muscle tone or enlarged vaginal introitus underwent manual reduction of prolapse, colpoperineorrhaphy and ring pessary insertion in the first stage followed by a vaginal hysterectomy with or without sacrospinous fixation 6 weeks later. All patients had a favourable outcome in terms of improvement of symptoms and satisfaction with the treatment.
本文描述了一种治疗老年女性严重盆腔器官脱垂的新的两阶段手术方法。四名女性患者，她们之前使用子宫托治疗失败（其中两名还尝试过双环子宫托但失败），或者由于盆底肌肉张力差或阴道入口扩大而无法使用子宫托，在第一阶段进行了脱垂手动复位、会阴阴道修补术和子宫托置入，六周后进行了阴道子宫切除术，可选择同时或不进行骶棘韧带固定。所有患者在症状改善和对治疗的满意度方面都取得了良好的效果。
