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골반 장기 탈출증의 치료로 시행한 천골가시 인대 고정술에 대한 임상적 고찰
이슬기(Seul Kee Lee),남계현(Gye Hyun Nam),송윤섭(Yoon Sub Song),이해혁(Hae Hyuk Lee),전준기(Joon Gee Jeon),김승형(Seung Hyung Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.8
Objective : To assess the results of the sacrospinous ligament suspension procedure for the treatment of pelvic organ prolapse and vault prolapse following hysterectomy. Methods : A retrospective analysis was performed of forty-six patients from follow-up visits, questionnaires, and chart reviews who underwent sacrospinous ligament suspension in the department of Obstetrics and Gynecology, Soonchunhyang University between September 1996 and January 1999. Clinical data collected included age at surgery, parity, severity of defect at each affected site, presence or absence of prior surgery, functional symptoms, concomitant pelvic reconstructive surgery performed and postoperative complications. Outcome of the procedure was assessed from postoperative visit. Results : Thirty-nine patient(84.8%) had uterine prolapse and seven patients had vaginal vault prolapse(15.2%). According to the POP-Q system approved by ICS, stage III pelvic prolapse was in 29 cases(63%), stage IV in 13 cases(28.3%). Forty-three patients(93.5%) underwent sacrospinous ligament suspension in which sixteen patients(37.2%) had concomitant vaginal hysterectomy with or without anterior or posterior colporraphy as clinically indicated. Two patient(4.3%) underwent vaginal hysterectomy and one patient(2.2%) had abdominal hysterectomy with retropubic urethropexy. ladder neck suspension was performed for six patients(13%). The immediate complications were the arterial ruptures(2 cases) and transient buttock pains(8 cases). The satisfactory results were obtained from 34 cases(85%) and the recurrent vaginal apical prolapse were found in the 2 cases(5%) of the performed patients. Conclusion : The transvaginal sacrospinous ligament suspension is considered to be effective, easy to perform in the treatment of pelvic organ prolapse and vaginal vault prolapse.