经阴道后路悬吊术在盆底重建中的应用

Study on posterior intra-vaginal slingplasty for pelvic floor reconstruction

目的 探讨经阴道后路悬吊术 (posteriorIVS)在盆底重建中的有效性和安全性。方法采用前瞻性研究的方法,对 11例阴道穹窿膨出和重度子宫脱垂的患者施以经阴道后路悬吊术。以术后阴道穹窿顶端或宫颈的最低点在坐骨棘水平以上为治愈标准。结果 手术时间平均为 55min,术中出血量平均为 86ml,住院时间平均为 5 6d。除 2例患者有臀部小血肿外,未发生术后排便困难等严重并发症。根据本研究的治愈标准, 11例患者均为治愈。结论 经阴道后路悬吊术是一种并发症较少的微创盆底重建手术。

Objective To study the efficacy and safety of posterior intra-vaginal slingplasty(IVS) in the re-construction surgery of pelvic floor. Methods Eleven patients with vault prolapse and severe prolapse of uterus undergoing posterior IVS were prospectively studied. Results Average operation time was 55 min. Average blood loss was 86 ml. Average hospitalization time was 5.6 d. No severe complications occurred. According to subjective assessment of the outcome, all patients were cured. Conclusion Posterior IVS is a minimally invasive, effective and safety surgery for re-construction of pelvic floor.