Snyder T E, Krantz K E
Department of Gynecology and Obstetrics, University of Kansas School of Medicine, Kansas City.
Obstet Gynecol. 1991 Jun;77(6):944-9.
Complete genital or vaginal prolapse affects a large number of middle-aged to elderly females. Satisfactory correction of prolapse with maintenance of vaginal patency has been a challenge to the pelvic surgeon for many years. We present a retrospective review of 147 patients undergoing abdominal sacral colpopexy using dacron graft or expanded polytetrafluoroethylene. The anatomical basis of repair, operative technique, and results are described. Ninety-three percent of the patients experienced long-term success over 5 years, including those with previous failed repairs. Both short- and long-term complication rates were acceptable. Only four patients experienced graft erosion, and only one of those had recurrent prolapse. Abdominal sacral colpopexy offers those affected with genital prolapse an opportunity for long-term relief, with maintenance of a patent vagina.
完全性生殖器或阴道脱垂影响大量中老年女性。多年来，在维持阴道通畅的情况下令人满意地矫正脱垂一直是盆腔外科医生面临的一项挑战。我们对147例行腹骶阴道固定术（使用涤纶移植物或膨体聚四氟乙烯）的患者进行了回顾性研究。描述了修复的解剖学基础、手术技术和结果。93%的患者在5年以上获得了长期成功，包括那些之前修复失败的患者。短期和长期并发症发生率均可接受。只有4例患者出现移植物侵蚀，其中只有1例复发脱垂。腹骶阴道固定术为那些患有生殖器脱垂的患者提供了长期缓解的机会，并维持阴道通畅。
