=목적: 질 원개 탈출증 환자에서 엉치 가시 인대 질 고정술의 효용성을 알아보기 위해 본 연구를 하였다.연구 방법: 1999년 7월부터 2004년 4월까지 가톨릭대학교 성바오로병원에서 질 원개 탈출증으로 엉치 가시 인대 질 고정술을 시행한 10명을 대상으로 시행한 후향적 연구이다. 결과: 엉치 가시 인대 질 고정술을 시행 받은 10명의 평균 연령은 58.9세 이었고, 평균 임신력은 3.4 이었으며, 평균 BMI는 24.5로 비만한 편이었다. 자궁 적출술 후 질 원개 탈출증을 진단 받기까지의 시간은 평균 11.1년이었고, 70.0%의 환자는 고혈압을 동반하고 있었다. 평균 수술 시간은 70.4분이었으며, 수술로 인한 헤모글로빈의 감소는 평균 2.4이었다. 10명 중, 당뇨가 동반되어 감염이 있었던 1명과 수혈을 받은 1명 외에 특이한 합병증은 없었다. 돌출된 종괴 증상은 100%에서 호전되었으며, 비뇨기계 증상 등의 다른 증상의 호전은 50% 이상의 환자에서 나타났다. 결론: 질 원개 탈출증 환자에서 엉치 가시 인대 질 고정술은 합병증과 재발이 드물며 특히 고혈압과 같은 전신 질환이나 비만한 환자에서도 좋은 치료 성적을 보인 방법이다.

Objective: To evaluate the effectiveness of sacrospinous colpopexy in vault prolapse patients. Methods: It is the retrospective study including 10 vault prolapse patients who received sacrospinous colpopexy at St. Paul Hospital, the Catholic University from July 1999 to April 2004. Results: The 10 patients receiving sacrospinous colpopexy had the average age of 58.9 years, and the parity of 3.4. They were moderately overweighted with average BMI of 24.5. The average period from hysterectomy to diagnosis of vault prolapse was 11.1 years. Hypertension was noted on most of patients (70.0%). The average operation time was 68.5 minutes and postoperative hemoglobin decrement was 2.4 on average. During 2-month period of postoperative follow-up, there were no significant complications noted except one case of wound infection associated with diabetes and one case of transfusion due to anemia. After sacrospinous colpopexy, protruding mass out of vagina was resolved on 100% and urologic and other complications were improved over 50% of cases. Conclusion: Considering that several underlying medical conditions such as hypertension, obesity are associated with vault prolapse patients, sacrospinous colpopexy in case of vault prolapse is an excellent operative approach with low complication and recurrence rates.

Objective: To evaluate the effectiveness of sacrospinous colpopexy in vault prolapse patients. Methods: It is the retrospective study including 10 vault prolapse patients who received sacrospinous colpopexy at St. Paul Hospital, the Catholic University from July 1999 to April 2004. Results: The 10 patients receiving sacrospinous colpopexy had the average age of 58.9 years, and the parity of 3.4. They were moderately overweighted with average BMI of 24.5. The average period from hysterectomy to diagnosis of vault prolapse was 11.1 years. Hypertension was noted on most of patients (70.0%). The average operation time was 68.5 minutes and postoperative hemoglobin decrement was 2.4 on average. During 2-month period of postoperative follow-up, there were no significant complications noted except one case of wound infection associated with diabetes and one case of transfusion due to anemia. After sacrospinous colpopexy, protruding mass out of vagina was resolved on 100% and urologic and other complications were improved over 50% of cases. Conclusion: Considering that several underlying medical conditions such as hypertension, obesity are associated with vault prolapse patients, sacrospinous colpopexy in case of vault prolapse is an excellent operative approach with low complication and recurrence rates.

Vault prolapse, Sacrospinous colpopexy