【摘要】 目的探讨改良阴道旁修补术治疗阴道前壁及膀胱膨出的有效性和安全性。方法采用改良阴道旁修补术,治疗21例有临床症状、临床检查确定为阴道前壁及膀胱膨出的患者。术后定期随访,对手术效果进行主观(患者自觉症状或感觉)及客观(临床检查)评价。结果21例改良阴道旁修补术均获得成功。手术时间平均为60 min,出血量平均为110 ml,有1例术中耻骨后静脉丛出血为200 ml,无其他手术并发症,有2例术后发生排尿困难,于短期内痊愈。结论改良阴道旁修补术在盆底重建中的短期疗效稳定,避免了使用补片,费用低廉,适合基层医院应用。更多还原

【Abstract】 Objective To explore the efficacy and safety of modified vaginal paraginal repair in treating vaginal prolapse and cystocele.Methods Twenty-one consecutive women with stage and grade anterior vaginal prolapse and cystocele evaluated by modified vaginal paraginal repair.AU patients were followed up after operation.The cure rate was estimated subjectively and objectively,according to POP-Q and Baden-walker half way system.Results All patients had their surgery completed by modified vaginal paraginal repair.The average operative time was 60 min and estimated blood loss was 110 ml.One minor intraoperative hemorrhage occurred during dissection of retropubic space and there was no other complication.Two cases developed obstructive voiding and recovered completely in a few days.Conclusion Modified vaginal paraginal repair with promising short-term results and needn’t use mesh.更多还原