子宫切除术后妇女常见的晚期并发症是单纯阴道脱垂或合并其他盆底支撑缺陷,大约占5%。Randall和Nichad创立了骶骨韧带固定术,并于1971年在美国成功地为18例生殖器脱垂者经阴道施行了手术,其后该手术成为妇科常用术式。有学者推荐其作为子宫切除术后预防阴道顶端脱垂的措施。迈阿密医学院Jakson纪念医院对子宫切除后阴道顶端脱垂及经阴道子宫切除术时为预防阴道顶端脱垂者施行骶骨韧带固定术,以明确由住院医师行该手术的安全性和有效性,并将其作为高年住院医师培训的内容。1990年7月～1995年11月间,该院对160例患者进行了骶骨韧带固定术。手术指征为阴道顶端或子宫Ⅱ度脱垂。手术在高年主治医师的指导下,由轮转的高年资住院医师施行,术后所有患者至少随 Common late complications of women after hysterectomy are simple vaginal prolapse or other pelvic floor support defects, accounting for about 5%. Randall and Nichad founded sacral ligament fixation and transvaginal surgery was successfully performed in 1871 in the United States for 19 genital prolapse patients in 1971, after which surgery became a commonly used form of gynecology. Some scholars recommend it as a hysterectomy to prevent vaginal prolapse prolapse measures. Jakson Memorial Hospital, Miami Medical College Hospital for the prevention and treatment of vaginal apophysis prolapse after hysterectomy for vaginal apical prolapse and vaginal hysterectomy sacral ligament fixation in order to clarify the safety and effectiveness of the operation by the resident physician, and Use it as a training resource for senior residents. Between July 1990 and November 1995, 160 patients underwent sacral ligament fixation. Surgical indications for the top of the vagina or uterine Ⅱ degree prolapse. Under the guidance of a senior attending physician, the operation was performed by a senior resident residency in rotation. All patients were followed at least