de Vries M J, van Dessel T H, Drogendijk A C, de Haas I, Huikeshoven F J
Department of Obstetrics and Gynecology, Dijkzigt University Hospital, Rotterdam, The Netherlands.
Eur J Obstet Gynecol Reprod Biol. 1995 Mar;59(1):35-8. doi: 10.1016/0028-2243(94)02015-7.
To evaluate short-term results and long-term patients' satisfaction of abdominal colposacropexy performed for massive genital prolapse in our institute during a 14-year period.
A retrospective analysis was performed of 101 consecutive women who underwent abdominal colposacropexy. The procedure consisted of retroperitoneal interposition of a Mersilene mesh between a prolapsed vaginal vault or uterus and the anterior surface of the sacrum. A questionnaire was used to evaluate patients' satisfaction after surgery.
In the short-term there was an acceptable rate of complications of surgery, comparable with that reported in the literature. Prolapse-related complaints evaluated by questionnaire were markedly diminished after surgery. Pain and functional complaints were only partly improved in a subgroup of patients. Only 32% of the patients responded that they were fully cured after operation.
Abdominal colposacropexy shows a particularly favorable result on prolapse-related complaints. Functional complaints and pain are not substantially relieved by this procedure. The complication rate of surgery is acceptable.
评估我院在14年期间对重度生殖器脱垂患者行腹式阴道骶骨固定术的短期疗效及患者长期满意度。
对连续101例行腹式阴道骶骨固定术的女性患者进行回顾性分析。该手术包括在脱垂的阴道穹窿或子宫与骶骨前表面之间经腹膜后置入Mersilene网片。采用问卷调查评估患者术后满意度。
短期内手术并发症发生率可接受，与文献报道相当。问卷调查评估的脱垂相关主诉术后明显减少。疼痛和功能方面的主诉在部分患者亚组中仅得到部分改善。仅32%的患者表示术后完全治愈。
腹式阴道骶骨固定术在脱垂相关主诉方面显示出特别良好的效果。该手术并不能显著缓解功能方面的主诉和疼痛。手术并发症发生率可接受。
