阴道阴道固定术中宫田钩的改良
Modification of the Miya hook in vaginal colpopexy.
作者信息
Mattox T F, Kelly T, Bhatia N N
机构信息
Department of Obstetrics and Gynecology, University of California, Los Angeles Harbor/UCLA Medical Center, School of Medicine, Torrance, USA.
出版信息
J Reprod Med. 1995 Oct;40(10):681-3.
OBJECTIVE
To evaluate a modification of the Miya hook in performing vaginal sacrospinous ligament fixation.
STUDY DESIGN
The modification was performed in over 50 patients. It involves placing the needle through the ligament unloaded; then the hook is back-threaded with the appropriate suture. The hook is then withdrawn, bringing the suture with it.
RESULTS
There were no complications as a result of this modification. The technique was faster, used fewer instruments and obviated fraying of the suture. It could also be adapted when retrieving the suture when the classic technique proved difficult.
CONCLUSION
The ease of this modification should promote the use of this instrument in performing vaginal sacrospinous ligament fixation.
目的
评估改良米娅钩在阴道骶棘韧带固定术中的应用。
研究设计
对50多名患者实施了改良。该改良方法是在未加载缝线的情况下将针穿过韧带；然后用合适的缝线对钩进行反向穿线。接着将钩抽出，同时带出缝线。
结果
该改良未引发任何并发症。该技术操作更快，使用的器械更少，避免了缝线磨损。在传统技术操作困难时，回收缝线时也可采用该改良方法。
结论
这种改良方法操作简便，应能促进该器械在阴道骶棘韧带固定术中的应用。
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