Weitzel H K, Jaluvka V, Opri F
Universitätsklinikum Benjamin Franklin, Frauenklinik, FU Berlin.
Geburtshilfe Frauenheilkd. 1995 Feb;55(2):73-6. doi: 10.1055/s-2007-1022778.
From 1983 to 1992 we performed 70 interventions because of a total genital prolapse: 51 vaginal hysterectomies and four removals of the cervical stump, both combined with vaginectomy and fifteen vaginectomies of the prolapsed vaginal vault. Two patients underwent another procedure during the same anesthesia: mastectomy and treatment of an inguinal hernia respectively. The youngest patient was 59 years old and the oldest 89. Fifty-four patients were aged between 71 and 82. Thirteen women had worn a pessary before the operation. Fifty-one interventions took less than 75 minutes. Serious postoperative complications included myocardial infarction on postoperative day eight in one patient and bronchopneumonia and cardiovascular decompensation in a second patient. No case of relapsing prolapse has come to our knowledge so far. We hold hysterectomy combined with vaginectomy to be the treatment method of choice in women with total genital prolapse and no further desire of cohabitation. When performed by an experienced surgeon it is the method with the lowest potential of recurrence and therefore to be preferred to other procedures.
1983年至1992年期间，我们因完全性生殖器脱垂进行了70例手术干预：51例阴道子宫切除术和4例宫颈残端切除术，均联合阴道切除术，以及15例脱垂阴道穹窿的阴道切除术。两名患者在同一次麻醉期间接受了另一项手术：分别为乳房切除术和腹股沟疝治疗。最年轻的患者59岁，最年长的89岁。54名患者年龄在71岁至82岁之间。13名女性在手术前使用过子宫托。51例手术时间不到75分钟。严重的术后并发症包括1例患者在术后第8天发生心肌梗死，另1例患者发生支气管肺炎和心血管失代偿。到目前为止，我们还不知道有复发脱垂的病例。我们认为，对于没有进一步同居意愿的完全性生殖器脱垂女性，子宫切除术联合阴道切除术是首选的治疗方法。由经验丰富的外科医生进行时，这是复发可能性最低的方法，因此比其他手术更可取。
