Lefranc J P, Attignac P, Blondon J
J Chir (Paris). 1983 Dec;120(12):707-11.
282 patients have undergone colpopexy to cooper ligament: 184 patients with genital prolapse treatment by abdominal approach, 18 patients with total hysterectomy for bening disease, 80 patients without any surgical procedure. Clinical survey was completed, for some patients, especially for the fifteen second-hand patients, by uretrocolpocystogram and/or urodynamic explorations. Functional results are equal to other works and seem to little decrease at a five year's notice. 8.5% of patients have had urinary urgencies. Failures seem more related with wrong indication than wrong surgical technic. The use of urinary studies might achieve for the difficult cases a better selection of patients for surgery and improvement of results.
282例患者接受了 Cooper 韧带阴道固定术：184例因生殖器脱垂采用经腹入路治疗，18例因良性疾病行全子宫切除术，80例未接受任何手术。对部分患者，尤其是15例二手患者，通过尿道阴道膀胱造影和/或尿动力学检查完成了临床调查。功能结果与其他研究相当，在随访五年时似乎略有下降。8.5%的患者出现尿急。失败似乎更多与适应证错误而非手术技术错误有关。对于疑难病例，采用尿液检查可能有助于更好地选择手术患者并改善治疗效果。
