双侧圆韧带交叉悬吊双侧子宫骶骨韧带治疗子宫脱垂

　　【摘要】 目的 探讨双侧圆韧带交叉悬吊双侧子宫骶骨韧带治疗子宫脱垂的可行性及疗效。方法 2000年3～11月行双侧圆韧带交叉悬吊双侧子宫骶骨韧带治疗子宫脱垂患者16例，其中合并有阴道前后壁膨出者5例，单纯前壁膨出者11例。合并压力性尿失禁者9例，子宫肌瘤者4例，子宫腺肌病者3例。结果 手术时间40～95min，平均(55±17)min，术中失血量50～100ml均<100ml，随诊14例，失访2例。随诊时间为6～51个月，其中治愈11例，有效2例，复发1例。结论 双侧圆韧带交叉悬吊双侧骶骨韧带治疗子宫脱垂是一种安全、有效、简捷的手术方法。

　　【关键词】 手术;子宫脱垂;圆韧带;子宫骶骨韧带

　　Bilateral round ligaments suspend crossly bilateral uterosacral ligaments for uterine prolapse of reserve cervices or uterines

　　WEI Honglin,XIAO Bin.The Third Section,Department of Obstetrics and Gynecology,Harbin RedCross Center Hospital,Harbin 150076,China

　　【Abstract】 Objective To explore possibility and efficacy of two side round ligaments suspended crossly tow side uterosacral ligaments for uterine prolapse of reserve cervices or uterines.Methods Sixteen women with uterine prolapse underwent that two side round ligaments suspended crossly tow side uterosacral ligaments for uterine prolapse.Among all patients,five patients were with prolapse of anterior and posterior wall of vagina,eleven only with prolapse of anterior wall of vagina,nine patients were with stress urinary incontinence,four with myomas,and three with adenomysis.Results The mean operating time was (55±17)min(40～95min),and the blood lose was less than 100ml(50～100ml).Followup of fourteen patients was from six to fiftyone months,and follow up of two patients were lost.Eleven patients had no symptoms of uterine prolapse,and two had the first degree of uterine prolapse.One patient presented recurrence of the seconddegree uterine prolapse.Conclusion It is safe,effective and simple that tow side round ligaments suspended crossly tow side uterosacral ligaments for uterine prolapse of reserve cervices or uterines.

　　【Key words】 operation;uterine prolapse;round ligament;uterosacral ligament

　　子宫脱垂是女性的常见病、多发病，严重危害妇女的身心健康，经典的手术方法为阴式全子宫切除术、阴道前后壁修补术及子宫悬吊术。近年来，由于年轻患者的增多，要求保留宫颈者也随之增多，因此，如何改进和完善保留子宫颈或子宫体的悬吊术又成为亟待解决的问题之一。由于子宫骶骨韧带悬吊术可以保持盆底支持结构的完整性及保留患

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