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首页> 外文期刊>Neurourology and urodynamics. >Posterior vaginal compartment repairs: Does vaginal vault (level I) fixation significantly improve the vaginal introital (level III) repair?
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Posterior vaginal compartment repairs: Does vaginal vault (level I) fixation significantly improve the vaginal introital (level III) repair?

机译：后阴道室修理：阴道穹窿（Ⅰ级）固定显着改善阴道间隙（III级）修复吗？

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Introduction Limited data exist associating vaginal vault and introital defects before and after posterior repairs (PR). We hypothesize: (i) a positive association between the size of vaginal vault and introital defects preoperatively; and (ii) a positive association between the reduction of these defects postoperatively if vault fixation (sacrospinous colpopexy—SSC) is used with the PR. Methods In a cross‐sectional study of 300 consecutive PRs, the following were measured pre‐ and immediately postoperatively: (i) from POP‐Q: genital hiatus (GH—Level III); (ii) from PR‐Q: perineal gap (PG—Level III), posterior vaginal vault descent (PVVD—Level I). The data for introital defects (GH, PG) were separated according to the need for vault fixation using a SSC due to a larger vaginal defect (PVVD over 5?cm). Results Mean (SD) preoperative GH and PG were both significantly larger in the SSC versus no SSC group: GH (3.73 [0.94] vs 3.36 [0.83]?cm, P ?=?0.01);?PG (2.91 [1.0] vs 2.61 [0.91]?cm, P ?=?0.05). SSC performed with the PR (84%); not performed (16%) cases. The mean (SD) postoperative reduction in GH (antero‐posterior) was significantly (29% —P ?=?0.002) greater—1.1 (0.69)?cm (29.5%) in the SSC group and 0.77 (0.49)?cm (22.9%) in the no SSC group. The decrease in the PG (transverse) was greater by 11% (0.05). Conclusions Levels I and III defects are associated with PRs; preoperatively larger vaginal vault (PVVD over 5?cm) and larger introital defects (GH, PG). Postoperatively, vault fixation resulted in significantly greater reduction in the introital defects. Summary Vaginal vault fixation (SSC) significantly improves the vaginal introital repair.
机译：简介有限数据存在，在后部修复前后都会关联阴道穹窿和间隙缺陷（PR）。我们假设：（i）术前阴道穹窿和间隙缺陷之间的积极关系; （ii）如果Vault固定（保险空间Colpopexy-SSC）与PR一起使用术后术后这些缺陷之间的正相关性。在300个连续的PRS的横截面研究中的方法，在术后和立即测量以下：（i）来自POP-Q：生殖器Qiatus（GH-Level III）; （ii）来自PR-Q：PENINEAL GAP（PG-Level III），后阴道穹窿下降（PVVD级I）。由于较大的阴道缺损（超过5Ωcm），根据使用SSC的Vault固定的需要进行间隙缺陷（GH，PG）的数据。结果平均值（SD）术前GH和PG在SSC中均显着较大，而没有SSC组：GH（3.73 [0.94] Vs 3.36 [0.83]Δcm，p？= 0.01）; pg（2.91 [1.0] Vs 2.61 [0.91]？cm，p？= 0.05）。 SSC与PR（84％）进行;未进行（16％）病例。 GH（蒽酮）术后降低的平均值（SD）显着（29％-p？= 0.002），SSC组中的1.1（0.69）？cm（29.5％），0.77（0.49）？cm（ 22.9％）在没有SSC组中。 PG（横向）的降低较大11％（0.05）。结论I和III缺陷的缺陷与PRS相关;术前更大的阴道穹窿（PVVD超过5？cm）和较大的间隙缺陷（GH，PG）。术后，Vault固定导致显着的缺陷显着降低。概述阴道穹窿固定（SSC）显着改善了阴道间隙修复。

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