摘要
目的:探讨阴道筋膜层重叠缝合在子宫脱垂及阴道壁脱中的作用。方法:阴道前或(和)后壁游离筋膜,去掉一侧黏膜层,缝合于对侧剥离面根部。对侧游离阴道筋膜覆盖之上,缝合于去掉黏膜面的筋膜层根部,双层缝合。增加对所支撑器官的支撑力。阴道残端分别与双侧主韧带、骶韧带缝合,预防阴道残端脱垂复发。结果:经术后随访,阴道前后壁、膀胱解剖位置正常27例,占96.5%,Ⅰ度阴道残端脱垂1例,占3.5%。结论:阴道筋膜层重叠缝合是治疗阴道脱垂及阴道壁垂脱较好的方法。
Objective：To explore the application of the vaginal fascia suture in prolapse of uterus and vaginal wall.Methods：Before or after vaginal wall and free fascia,removed from the side of the mucosal layer,stitched to the contralateral dissection surface root.On the side of free vaginal fascia covering the above is stitched to the mucosal surface,remove the fascia layer root,double-layer suture.Increase to support organ support force.Vaginal stump were associated with bilateral main ligaments,sacroiliac ligament suture,prevention of vaginal stump prolapse recurrence.Results：After follow-up,anterior and posterior vaginal wall,bladder anatomical location was normal in 27 cases,accounting for 96.5%,Ⅰ degree vaginal stump prolapse in 1 cases,accounting for 3.5%.Conclusion：The vaginal fascia suture is better method for prolapse of uterus and vaginal wall.
出处
《中外医学研究》
2013年第6期9-10,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
子宫脱垂
重叠缝合
阴道筋膜
Prolapse of uterus
Overlapping suture
Vaginal fascia
