CAJ | 학술논문

目的初步探讨保留子宫的经阴道骶棘韧带固定术治疗子宫脱垂的可行性及有效性.方法对2006年7月至2008年12月收治的8例子宫脱垂患者进行了保留子宫的经阴道骶棘韧带固定术,合并有尿失禁者同时行尿道中段无张力悬吊术及尿道后韧带折叠术,合并阴道前后壁膨出者同时行阴道前后壁修补术.分析其临床疗效,并进行随访.结果所有患者均成功进行该术式,根据POP-Q分度法,8例患者的子宫脱垂,阴道前后壁膨出及尿失禁等症状全部得到纠正,术中无一例发生术中、术后出血或盆腔脏器损伤.8患者术后均恢复好,无术后病率,未观察到其他与手术相关的并发症.术后平均随访18个月,患者子宫颈距离处女膜缘均4 cm,相关症状消失或明显改善.结论对要求保留子宫的子宫脱垂患者施行经阴道骶棘韧带固定术是一种安全、简单,有效的微创手术.
목적 초보탐토보류자궁적경음도저극인대고정술치료자궁탈수적가행성급유효성.방법 대2006년7월지2008년12월수치적8례자궁탈수환자진행료보류자궁적경음도저극인대고정술,합병유뇨실금자동시행뇨도중단무장력현조술급뇨도후인대절첩술,합병음도전후벽팽출자동시행음도전후벽수보술.분석기림상료효,병진행수방.결과 소유환자균성공진행해술식,근거POP-Q분도법,8례환자적자궁탈수,음도전후벽팽출급뇨실금등증상전부득도규정,술중무일례발생술중、술후출혈혹분강장기손상.8환자술후균회복호,무술후병솔,미관찰도기타여수술상관적병발증.술후평균수방18개월,환자자궁경거리처녀막연균4 cm,상관증상소실혹명현개선.결론 대요구보류자궁적자궁탈수환자시행경음도저극인대고정술시일충안전、간단,유효적미창수술.
Objective To investigate the feasibility and efficacy of vaginal sacrospinous ligament fixation (VSSLF) procedure which reserving uterus in the treatment of uterine prolapse. Methods 8 cases with uterine pro-lapse underwent VSSLF procedures which reserving uterus from July 2006 to December 2008. Those with incontinence d urine simultaneously underwent ventrofixation of the middle piece of the urethra and folding of the ligamentum pos-terius of the uretha and those with anterior or posterior vaginal wall prolapse underwent eolporrhaphia anterior-posteri-or. Results All patients successfully accomplished by VSSLF,without intraoperative or postoperative hemorrhage or organ injury. All patients' prolapse symptoms were relieved efficently according to the pelvic organs prolapse quantifi-cation(POP-Q). Patients were followed-up for 18 months after operation. 8 patients all recovered well without any complication related to the procedure after operation. Conclusion VSSLF is a simple,safe,effective and micro-inva-sire way for patients with uterine prolapse who want to reserve uterus.