Misrai V, Gosseine P-N, Costa P, Haab F, Delmas V
Service d'Urologie, Hôpital Bichat Paris, AP-HP, Université Paris Diderot, Paris, France.
Prog Urol. 2009 Dec;19(13):1019-24. doi: 10.1016/j.purol.2009.09.020. Epub 2009 Nov 7.
The aim of this review was to summarize the available literature on transvaginal anterior colporrhaphy (AC) in the management of anterior vaginal wall prolapse. A medline search from 1978 to 2008 was performed. Anatomical results were assessed for each study according to the severity of cystocele, the previous pelvic organ prolapse (POP) procedure and the numbers of procedures preformed concomitantly to the AC. The anatomic success rates of single anterior colporrhaphy varied between 0 and 100 % with a follow-up ranged from 1 month to 20 years. The highest rates of anatomical recurrence were reported in series which encompassed a large number of women with high grade cystocele and/or previous POP procedures. However, the excellent short-term results and the feasibility of this technique suggest that AC can still be performed in selected cases.
本综述的目的是总结经阴道前壁修补术（AC）治疗阴道前壁脱垂的现有文献。我们检索了1978年至2008年的医学文献数据库（Medline）。根据膀胱膨出的严重程度、既往盆腔器官脱垂（POP）手术以及与AC同时进行的手术数量，对每项研究的解剖学结果进行评估。单纯前壁修补术的解剖学成功率在0%至100%之间，随访时间从1个月至20年不等。在包含大量重度膀胱膨出和/或既往有POP手术的女性患者系列研究中，解剖学复发率最高。然而，该技术出色的短期效果和可行性表明，在某些特定病例中仍可进行AC手术。
