经阴道骶棘韧带固定术联合 Veronikis 结扎器治疗女性生殖道脱垂的临床效果。
Clinical outcome of transvaginal sacrospinous fixation with the Veronikis ligature carrier in genital prolapse.
机构信息
Department of Obstetrics and Gynecology, National Taiwan University Hospital, College of Medicine, National Taiwan University, 7 Chung-Shan South Road, Taipei, Taiwan.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2010 Sep;152(1):108-10. doi: 10.1016/j.ejogrb.2010.05.020. Epub 2010 Jun 16.
OBJECTIVE
To evaluate the clinical outcome of sacrospinous fixation (SSF) using the Veronikis ligature carrier (VLC) for genital prolapse.
STUDY DESIGN
A retrospective longitudinal study was performed. From December 2003 through June 2008, SSF was performed in 76 patients using the VLC as part of their site-specific reconstructive pelvic surgery. All patients were followed up postoperatively at 6 weeks, 3 months, 6 months, 12 months, and annually thereafter.
RESULTS
The median operative time of SSF was 34min. It took less than 5min to introduce two sutures through the ligament using the VLC. Four patients (5.3%) had recurrent vaginal vault descent at 3-8 months, and received SSF again. Three patients had recurrent stage 1 cystocele at 6-12 months, but did not require further surgery.
CONCLUSION
The VLC allowed effective introduction of the suspending suture through the sacrospinous ligament and might be considered an important surgical component in the treatment of severe genital prolapse.
目的
评估使用 Veronikis 结扎器（VLC）行骶棘韧带固定术（SSF）治疗女性生殖器官脱垂的临床疗效。
研究设计
回顾性纵向研究。2003 年 12 月至 2008 年 6 月，76 例患者行 VLC 辅助的 SSF，作为特定部位重建性骨盆手术的一部分。所有患者术后分别于 6 周、3 个月、6 个月、12 个月以及此后每年进行随访。
结果
SSF 的中位手术时间为 34 分钟。使用 VLC 通过韧带引入两条缝线不到 5 分钟。4 例患者（5.3%）在 3-8 个月时出现阴道穹窿再次脱垂，再次行 SSF。3 例患者在 6-12 个月时出现 1 度膀胱膨出，但无需进一步手术。
结论
VLC 可有效将悬吊缝线引入骶棘韧带，可被视为治疗严重女性生殖器官脱垂的重要手术组成部分。
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