Creighton S M, Stanton S L
Department of Obstetrics and Gynaecology, St George's Hospital, London.
Br J Obstet Gynaecol. 1991 Nov;98(11):1150-4. doi: 10.1111/j.1471-0528.1991.tb15368.x.
A review of the results of surgery for vaginal vault prolapse following hysterectomy.
A retrospective review of all patients treated surgically for vaginal vault prolapse between 1981 and 1990 in one hospital.
St George's Hospital, London.
28 women.
The 28 patients underwent 33 operations, either a colposacropexy (23 procedures) or a Zacharin procedure (10 procedures). Of the 28 women 25 were seen in the gynaecological clinic within the last year.
Pre- and post-operative data and any interim prolapse surgery was recorded. Success of the procedure in terms of cure, urinary complications, infection and sexual function.
The mean follow-up time was 17.1 months for the colposacropexy and 33 months for the Zacharin. The cure rate for colposacropexy was 91% and that for the Zacharin procedure was 70%. The two commonest complications were development of a voiding difficulty and infection. Three women developed voiding difficulty following the Zacharin and one following colposacropexy. Two women following colposacropexy required removal of the Mersilene mesh due to a persistent discharging sinus.
The colposacropexy had a better success rate and, as it is a simpler operation to perform, has become the operation of choice in this unit. It is, however, associated with a risk of infection which can necessitate removal of the supporting mesh.
回顾子宫切除术后阴道穹窿脱垂的手术结果。
对1981年至1990年在一家医院接受手术治疗的所有阴道穹窿脱垂患者进行回顾性研究。
伦敦圣乔治医院。
28名女性。
28例患者接受了33次手术，其中23例为阴道骶骨固定术，10例为扎查林手术。28名女性中有25名在过去一年内在妇科门诊就诊。
记录术前和术后数据以及任何中间脱垂手术情况。手术在治愈、泌尿系统并发症、感染和性功能方面的成功率。
阴道骶骨固定术的平均随访时间为17.1个月，扎查林手术为33个月。阴道骶骨固定术的治愈率为91%，扎查林手术为70%。两种最常见的并发症是排尿困难和感染。3名女性在扎查林手术后出现排尿困难，1名在阴道骶骨固定术后出现。2名接受阴道骶骨固定术的女性因持续的引流窦而需要取出Mersilene网片。
阴道骶骨固定术成功率更高，且由于其操作更简单，已成为本单位的首选手术。然而，它存在感染风险，可能需要取出支撑网片。
