Holley R L
Department of Obstetrics and Gynecology, University of Alabama at Birmingham 35233-7333.
Obstet Gynecol Surv. 1994 Apr;49(4):284-93.
An enterocele is a hernia of the small intestine into the vagina. First described in 1736, it is an uncommon but potentially quite symptomatic clinical entity. Despite increased interest in enterocele during the past 50 years, there are few large series reported, and follow-up on surgical results has generally been poor. Many enteroceles follow vaginal or abdominal hysterectomy. Various surgical techniques for repair of enterocele are presented herein, including the classical repairs by Ward and Moschcowitz. Because enterocele frequently coexists with vaginal vault prolapse, contemporary procedures for simultaneous repair are described. Emphasis is placed upon prophylactic vaginal vault suspension and cul-de-sac obliteration at the time of abdominal or vaginal hysterectomy. The complications of failure to recognize enterocele are spontaneous vaginal evisceration, although rare, and progressive symptomatology. Attempted repair may also engender complications, some life-threatening.
肠膨出是小肠疝入阴道。它于1736年首次被描述，是一种不常见但可能症状相当明显的临床病症。尽管在过去50年里人们对肠膨出的关注度有所增加，但报道的大样本病例很少，而且手术结果的随访通常很差。许多肠膨出发生在阴道或腹部子宫切除术后。本文介绍了各种修复肠膨出的手术技术，包括沃德（Ward）和莫施科维茨（Moschcowitz）的经典修复方法。由于肠膨出常与阴道穹隆脱垂同时存在，因此还描述了同时修复的现代手术方法。重点是在腹部或阴道子宫切除术时进行预防性阴道穹隆悬吊和直肠子宫陷凹封闭。未能识别肠膨出的并发症包括自发性阴道脏器脱出（虽然罕见）和症状进行性加重。尝试修复也可能引发并发症，有些甚至危及生命。
