Haylen Bernard T, Yang Vivian, Vu Dzung, Tse Kelly
University of New South Wales, Kensington, New South Wales, Australia.
Int Urogynecol J. 2011 Jan;22(1):69-75. doi: 10.1007/s00192-010-1242-x. Epub 2010 Aug 26.
the objective of this study is to examine the surgical safety and early efficacy of the midline uterosacral (ligament) plication anterior colporrhaphy (MUSPACC) procedure.
a retrospective review of the perioperative data of 41 women who had undergone an MUSPACC procedure without any other vaginal vault supportive procedure was performed.
the MUSPACC procedure can be performed comfortably through a single midline anterior vaginal wall incision, providing concomitant levels 1 and 2 support at anterior colporrhaphy. The procedure is safe and relatively quick (median 23 min) with consistent access to the intermediate section of the uterosacral ligament. Blood loss is generally minimal to small. Dissection is relatively limited. The ureters (2 cm or more lateral) are not deemed to be at risk. Short-term anatomical results are promising. There was no significant change in vaginal length.
the MUSPACC procedure is safe, relatively quick, and free of significant bleeding. It provides concomitant levels 1 and 2 vaginal support.
本研究的目的是检验中线子宫骶骨（韧带）折叠前阴道壁修补术（MUSPACC）的手术安全性和早期疗效。
对41例行MUSPACC手术且未行任何其他阴道穹窿支持手术的女性患者的围手术期数据进行回顾性分析。
MUSPACC手术可通过单一的中线阴道前壁切口顺利完成，在前阴道壁修补术中同时提供1级和2级支持。该手术安全且相对快速（中位时间23分钟），能够持续进入子宫骶骨韧带的中间部分。出血量通常极少至少量。解剖范围相对有限。输尿管（在外侧2厘米或更远）不被认为有风险。短期解剖学结果令人满意。阴道长度无显著变化。
MUSPACC手术安全、相对快速且无明显出血。它同时提供1级和2级阴道支持。
