经阴道后路吊带成形术治疗阴道穹窿脱垂的疗效

Efficacy of posterior intravaginal slingplasty in treatment of vaginal vault prolapse

目的探讨阴道穹隆脱垂手术的治疗方法及临床效果。方法采用pelvic-organ prolapse quantification system(POP-Q)分期法对59例子宫脱垂及阴道前后壁膨出同时合并阴道穹隆脱垂的患者进行分期,并接受经阴道后路吊带成形术,于术后第9个月随访阴道总长度及阴道压力的变化,并随访2～4年。结果59例患者术后9个月、2年的阴道总长度及阴道压力均较术前显著增加(P值均<0.05);临床症状均缓解,无近期并发症。结论经阴道后路吊带成形术治疗阴道穹隆脱垂简单、安全、有效、微创,值得推广应用。

Objective To explore the technique and efficacy of surgical treatment for vaginal vault prolapse.Methods Totally 59 patients were diagnosed based on Pelvic Organs Prolapse Quantification system,and they were found to had uterus prolapse,vaginal wall prolapse and vault prolpase.All patients had been treated by posterior intravaginal slingplasty（posterior intravaginal slingplasty）.The total vaginal length and vaginal pressure were examined 9 months after operation;the patients were followed up for 2-4 years.Results The total vaginal length and vaginal pressure of the 59 patients were significantly increased 9 months and 2 years after operation（P〈0.05）.Their symptoms were improved and there were no early complications.Conclusion Posterior intravaginal slingplasty is a easy-to-perform,safe,effective,and mini-invasive treatment for posterior vaginal vault prolapses,and it is worth popularizing.