Zacharin R F, Hamilton N T
Obstet Gynecol. 1980 Feb;55(2):141-8.
Surgical correction of large pulsion enterocele is a contentious subject and until a technique is founded upon proper anatomic facts, the arguments will continue. Pulsion enterocele follows changes in the pelvic cellular tissues and levator ani complex; both defects must be corrected. Synchronous abdominoperineal repair attends to both defects with accuracy, and in a healthy woman who wishes to regain normal vaginal function, it should be the procedure of choice. During the past 11 years, 66 patients, many of whom had been unsuccessfully treated by other techniques, have been managed with this procedure. Accurate follow-up has been possible in 60 patients, and of these women, 56 have been cured.
大型脱垂性小肠膨出的手术矫正一直是个有争议的话题，在基于恰当解剖学事实确立一种技术之前，争论将会持续。脱垂性小肠膨出与盆腔蜂窝组织和肛提肌复合体的变化有关；这两个缺陷都必须得到矫正。同步经腹会阴修补术能精确地处理这两个缺陷，对于希望恢复正常阴道功能的健康女性来说，它应是首选术式。在过去11年里，66例患者接受了该手术治疗，其中许多患者此前接受其他技术治疗均未成功。60例患者得以进行准确随访，这些女性中有56例已治愈。
