Cruikshank S H, Kovac S R
Department of Obstetrics and Gynecology, Wright State University School of Medicine, Dayton, Ohio 45409-2793, USA.
Am J Obstet Gynecol. 1996 Jun;174(6):1863-9; discussion 1869-72. doi: 10.1016/s0002-9378(96)70222-3.
The purpose of our study was to evaluate a surgical technique we have developed that, when used at vaginal hysterectomy, helps prevent posthysterectomy anterior vaginal segment (wall) prolapse.
This modified surgical procedure was used in 966 consecutive vaginal hysterectomies performed from January 1989 through December 1994. Patients returned at 1, 3, and 12 months and annually thereafter for follow-up. The longest follow-up period to date is 5.5 years.
Of the 925 patients in our study followed up for > or = 1 year, 908 (98.1%) retained excellent anterior vaginal support. Symptomatic anterior vaginal segment prolapse occurred in 12 patients (1.3%), and asymptomatic prolapse, with the anterior vaginal wall descending less than halfway from the ischial spines to the hymen, occurred in 5 (0.5%). None of the 42 patients followed up for <1 year has had evidence of prolapse.
This procedure is an acceptable method to help prevent posthysterectomy anterior vaginal segment prolapse.
我们研究的目的是评估一种我们开发的手术技术，该技术用于阴道子宫切除术中时，有助于预防子宫切除术后阴道前壁脱垂。
1989年1月至1994年12月期间连续966例阴道子宫切除术采用了这种改良手术方法。患者在术后1、3和12个月复诊，之后每年复诊进行随访。目前最长随访期为5.5年。
在我们研究的925例随访时间≥1年的患者中，908例（98.1%）阴道前壁支持良好。12例患者（1.3%）出现有症状的阴道前壁脱垂，5例患者（0.5%）出现无症状脱垂，阴道前壁从坐骨棘下降至处女膜的距离不到一半。42例随访时间<1年的患者均未出现脱垂迹象。
该手术方法是预防子宫切除术后阴道前壁脱垂的一种可接受的方法。
