曼彻斯特福瑟吉尔手术与经阴道子宫切除术治疗子宫脱垂的长期疗效比较。
A comparison of long-term outcome between Manchester Fothergill and vaginal hysterectomy as treatment for uterine descent.
作者信息
Thys Susanne D, Coolen Anne- Lotte, Martens Ingrid R, Oosterbaan Herman P, Roovers Jan- Paul W R, Mol Ben- Willem, Bongers Marlies Y
机构信息
Department of Gynaecology and Obstetrics, Maxima Medical Centre, De Run 4600, 5500 MB, Veldhoven, The Netherlands.
出版信息
Int Urogynecol J. 2011 Sep;22(9):1171-8. doi: 10.1007/s00192-011-1422-3. Epub 2011 Apr 12.
INTRODUCTION AND HYPOTHESIS
The objective of this study was to compare the Manchester Fothergill (MF) procedure with vaginal hysterectomy (VH) as surgical treatment of uterine descent.
METHODS
Consecutive patients who underwent MF were matched for prolapse grade, age and parity to consecutive patients treated with VH. Evaluated outcomes included functional outcome, morbidity, recurrence of pelvic organ prolapse (POP) and sexual function. Follow-up was performed using validated questionnaires.
RESULTS
We included 196 patients (98 patients per group). The response rate after a follow-up of 4-9 years was 80%. We found no differences in functional outcome and recurrence rates of POP between groups. Blood loss was significantly less and operating time was significantly shorter in the MF group. However, incomplete emptying of the bladder was more common in the MF group.
CONCLUSIONS
The MF procedure is equally effective to the VH and should be considered as a surgical option that allows preservation of the uterus.
引言与假设
本研究的目的是比较曼彻斯特福瑟吉尔（MF）手术与经阴道子宫切除术（VH）作为子宫脱垂的手术治疗方法。
方法
将接受MF手术的连续患者与接受VH治疗的连续患者按脱垂程度、年龄和产次进行匹配。评估的结果包括功能结局、发病率、盆腔器官脱垂（POP）复发率和性功能。使用经过验证的问卷进行随访。
结果
我们纳入了196例患者（每组98例）。随访4 - 9年后的应答率为80%。我们发现两组之间在功能结局和POP复发率方面没有差异。MF组的失血量明显更少，手术时间明显更短。然而，MF组膀胱排空不全更为常见。
结论
MF手术与VH同样有效，应被视为一种可保留子宫的手术选择。
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