Dony J M
Department of Gynaecology and Obstetrics, St Radboud Hospital, Catholic University, Nijmegen, The Netherlands.
Neth J Surg. 1989 Dec;41(6):152-5.
Vaginal vault prolapse is mostly a preventable complication of hysterectomy. Adequate suspension of the vaginal apex after hysterectomy with use of shortened cardinal and uterosacral ligaments will draw the proximal vagina over the levator plate. This results in support for the distal vagina. The essence of surgical repair of vaginal vault prolapse is to create a new suspension with the same vaginal support. Transvaginal sacrospinous fixation and transabdominal sacrocolpo-suspension accomplish this.
阴道穹窿脱垂大多是子宫切除术后可预防的并发症。子宫切除术后使用缩短的主韧带和子宫骶骨韧带充分悬吊阴道顶端，可将阴道近端牵拉至肛提肌板上方。这为阴道远端提供了支撑。阴道穹窿脱垂手术修复的本质是建立一个具有相同阴道支撑作用的新悬吊结构。经阴道骶棘韧带固定术和经腹骶骨阴道悬吊术可实现这一点。
