Morgan Daniel M, Larson Kindra
Department of Obstetrics and Gynecology, Women's Hospital, University of Michigan, Ann Arbor, Michigan, USA.
Clin Obstet Gynecol. 2010 Mar;53(1):72-85. doi: 10.1097/GRF.0b013e3181cf2d51.
Correction of apical vaginal prolapse has been described via abdominal, laparoscopic, and transvaginal approaches. The uterosacral and sacrospinous ligament suspension procedures are common transvaginal native tissue repairs to restore apical vaginal support. Preoperative evaluation, operative decision making, surgical techniques, and objective and subjective outcomes of each technique are reviewed.
经腹、腹腔镜和经阴道途径均已被描述用于纠正阴道顶端脱垂。子宫骶骨韧带和骶棘韧带悬吊术是常见的经阴道自体组织修复术，用于恢复阴道顶端支撑。本文回顾了每种技术的术前评估、手术决策、手术技巧以及客观和主观结果。
