CAJ | 학술논문

目的探讨水分离直肠引导下阴式骶棘韧带固定术治疗重度盆腔脏器脱垂的临床疗效和手术技巧.方法 25例子宫脱垂和阴道穹隆脱垂患者行阴式骶棘韧带固定术,对应用水分离肛门内引导缝合骶棘韧带的可行性和有效性进行分析.结果所有患者成功进行该术式,根据盆腔器官脱垂定量分期法,25例盆腔脏器脱垂患者,阴道前后壁膨出及尿失禁等症状全部得到纠正,无1例发生术中、术后出血或盆腔脏器损伤.25例患者术后均恢复良好,无术后病率,未发生严重的与手术相关的并发症.术后平均随访24个月,患者子宫颈或阴道顶端距离处女膜缘平均4 cm,相关症状消失或明显改善.结论对重度子宫脱垂及阴道顶端脱垂患者施行水分离直肠引导经阴道骶棘韧带固定术是一种安全、简单、有效的微创手术,具有较好的临床疗效.
목적 탐토수분리직장인도하음식저극인대고정술치료중도분강장기탈수적림상료효화수술기교.방법 25례자궁탈수화음도궁륭탈수환자행음식저극인대고정술,대응용수분리항문내인도봉합저극인대적가행성화유효성진행분석.결과 소유환자성공진행해술식,근거분강기관탈수정량분기법,25례분강장기탈수환자,음도전후벽팽출급뇨실금등증상전부득도규정,무1례발생술중、술후출혈혹분강장기손상.25례환자술후균회복량호,무술후병솔,미발생엄중적여수술상관적병발증.술후평균수방24개월,환자자궁경혹음도정단거리처녀막연평균4 cm,상관증상소실혹명현개선.결론 대중도자궁탈수급음도정단탈수환자시행수분리직장인도경음도저극인대고정술시일충안전、간단、유효적미창수술,구유교호적림상료효.
Objective To explore the clinical efficacy and surgical techniques of vaginal sacrospinous ligament fixation,which was used for treatment of uterine prolapse and vaginal prolapse of the top.Methods 25 patients with uterine prolapse and vaginal vault prolapse were treated with VSSLF,and its feasibility and effiency was analyzed.Results All patients were successfully conducted the surgical indexing method based on POP-Q,25 cases of uterine prolapse,vaginal anterior and posterior wall prolapse and urinary incontinence and other symptoms all had been corrected.There was no intraoperative and postoperative bleeding or pelvic organ injury in surgry.25 patients recovered well after operation,postoperative morbidity,not observed in other complications associated with surgery.All the patients were followed up for 24 months,patients'cervix 4 cm from the hymen edge,related symptoms disappeared or improved significantly.Conclusion Vaginal sacrospinous ligament fixation is a safe,simple,effective and minimally invasive surgery for uterine prolapse and vaginal prolapse of the top.