骶主韧带复合体、耻骨阴道肌交叉缝合术治疗子宫脱垂及阴道前壁膨出36例临床分析

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Abstract Objective To explore the curative effectiveness of main sacral ligament complex and pubovaginalis cross suture in the treatment of uterine and anterior vaginal wall prolapse.Methods Altogether 36 cases of the uterine prolapse complicated with the anterior vaginal wall bulge in our hospital from August 2012 to December 2014 were selected as the research group，which were treated with vaginal hysterectomy combined with main sacral ligament complex and pubovaginalis cross suture　（combined with repair of posterior vaginal wall and repair of perineal laceration）.Post-operational subjective and objective curative effectiveness of patients was analyzed，including perioperative conditions and complications.Results Surgeries of 36 cases of patients were successfully completed.Postoperative POP-Q scores in each position increased significantly compared with the pre-operative one and reached anatomical reduction（P＜0.01）.All POP-Q scores in indication sites were significantly improved compared with the preoperative one.Among all the cases，34 cases of POP-Q scores were at degree 0，only 2 cases of POP-Q scores were at degreeⅠ（pre-operative POP-Q score：Ⅳdegree）.The objective curative rate was 100%，and the subjective satisfaction rate was 100%.Conclusion The main sacral ligament complex and pubovaginalis cross suture demonstrates great effectiveness in the use of self-organization in the treatment of anterior pelvic defects and its easy-to-operate features with strong practicality，low medical expenses and recurrence rate.

Key words： Main sacral ligament complex Pubovaginalis Anterior pelvic dysfunction（anterior vaginal wall prolapsed）

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	Articles by authors
	CHEN Yuan-hong
	YAN Cai-xia
	FENG Shu-mei
	CHEN Shao-hui
	LI Hai-jing

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CHEN Yuan-hong,YAN Cai-xia,FENG Shu-mei, et al. Clinical analysis of main sacral ligament complex and pubovaginalis cross suture in the treatment of 36 cases of uterine prolapse and anterior vaginal wall bulge[J]. 中国当代医药, 2016, 23(22): 126-129.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I22/126

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