Kulkarni S
Department of Obstetrics and Gynaecology, U.W.I., Jamaica.
West Indian Med J. 1993 Jun;42(2):65-7.
Nine cases treated by surgery for post-hysterectomy vaginal prolapse are reviewed. The mean time between presentation and the antecedent hysterectomy was 12.8 years. Two patients who had abdominal sacral colpopexy alone developed recurrence of prolapse. Additional culdoplasty and colposuspension improved the cure rate but prolonged the mean operating time. Restoration of vaginal anatomy and function is best achieved with the combined operation.
回顾了9例因子宫切除术后阴道脱垂接受手术治疗的病例。就诊与之前子宫切除术之间的平均时间为12.8年。仅接受腹骶阴道固定术的2例患者出现了脱垂复发。额外的盆底成形术和阴道悬吊术提高了治愈率，但延长了平均手术时间。联合手术能最好地恢复阴道的解剖结构和功能。
