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目的探讨采用自身脱垂的阴道后壁作为“桥”进行后壁脱垂修补,并观察其有效性和安全性。方法2004年3月至2005年11月采用前瞻性研究的方法,对南京第一医院24例阴道后壁脱垂患者,常规给予腹腔造影同步排粪造影,排除盆底腹膜疝,施以自身阴道壁“桥”式修补术。结果24例手术均获成功。手术时间平均30min,出血量平均50mL,无手术并发症。最短随访病例5个月,排便正常,无便秘症状出现。结论腹腔造影同步排粪造影可以广泛用于阴道后壁脱垂的影像学诊断,自身阴道壁“桥”式后壁修复术简便廉价易行,长期疗效有待于进一步观察。
Objective To explore the use of posterior vaginal wall of prolapse as a “bridge” for posterior wall prolapse repair, and observe its effectiveness and safety. Methods From March 2004 to November 2005, 24 cases of vaginal posterior wall prolapse in the First Hospital of Nanjing were routinely given intraperitoneal contrast echocardiography, excision of pelvic peritoneal hernia and self vaginal Wall “bridge” type repair. Results 24 cases of surgery were successful. The average operation time was 30min, the average amount of bleeding was 50mL. There was no operative complications. The shortest follow-up cases of 5 months, normal bowel movements, no symptoms of constipation. Conclusion Intraperitoneal contrast simultaneous defecography can be widely used in the imaging diagnosis of vaginal posterior wall prolapse. The “bridge” posterior wall repair of its own vaginal wall is simple, easy and cheap, and long-term efficacy needs further observation.