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題 名 | Uterine Preservation in the Surgical Management of Uterine Prolapse: A Laparoscopic Approach=在保留子宮情形下以腹腔鏡手術治療生殖道脫垂 |
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作 者 | 吳銘斌; 陳文瑩; 周振陽; 顏裕庭; 林文俊; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 38:2 1999.06[民88.06] |
頁 次 | 頁45-50 |
分類號 | 417.32 |
關鍵詞 | 高位馬扣氏陰道懸吊術; 子宮保留; 子宮脫垂; 腹腔鏡; High McCall colpopexy; Uterine preservation; Uterine prolapse; Laparoscopy; |
語 文 | 英文(English) |
中文摘要 | 目的:有生殖道脫垂的年青婦女想保存子宮功能或生育能力時,子宮的保留是很 重要的考慮。本文報告在不作子宮摘除的情形下,以腹腔鏡高位馬扣氏陰道懸吊術治療生殖 道脫垂的臨床經驗。 方法:以腹腔鏡高位馬扣氏陰道懸吊術治療十三位有子宮脫垂(或合併其他生殖道垂脫) 之年青婦女。我們使用不可吸收縫線,將兩側子宮薦骨韌帶及陰道後壁(含子宮頸)做二至三 次錢袋式縫合,並使用體外打結將陰道上端(子宮頸)固定在符合原來解剖位置的薦骨前區 域。 結果:所有接受本項手術的病人在追蹤期間(平均為23.5個月)並無子宮脫垂復發現象。 結論:此手術可有效地恢復原來子宮正常位置、陰道軸角度並建立性功能良好的陰道。 對於子宮脫垂之年青婦女,腹腔鏡高位馬扣氏陰道懸吊術是一種簡單、安全又有效的治療方 式。 |
英文摘要 | Objective: To manage symptomatic uterine prolapse in young women who wish to preserve uterine function and psychosexual satisfaction, uterine preservation is of prime consideration. In the present study, a laparoscopic high McCall colpopexy was performed to treat uterine prolapse in young women desiring preservation of uterine function or fertility. Methods: From January 1996 through January 1998, thirteen women with moderate uterine prolapse with or without other pelvic relaxation were included in the present study. They were treated by laparoscopic high McCall colpopexy in conjunction with other laparoscopic procedures. Non-absorbable suture materials and extra-corporeal knot-tying techniques were used. Two to three purse-string sutures were placed through the uterosacral cardinal-ligament complex to suspend the posterior surface of the cervix to the presacral area. Results: All patients tolerated the procedures well and reported no relaxation at follow-up visits for a mean period of 23.5 months. Conclusions: Our experience indicates the feasibility of this procedure as an alternative treatment to traditional vaginal hysterectomy. The laparoscopic approach is especially well received in the young women with uterine prolapse who wish to preserve uterine function. |
本系統中英文摘要資訊取自各篇刊載內容。