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目的:探讨既往阴道放置网片后因并发症需要网片拆除的指征、处理及拆除后的效果。方法:回顾性分析2006年1月～2009年1月中国医科大学附属盛京医院经阴道网片放置后因严重并发症需拆除网片患者的临床资料,并随访网片相关并发症、疼痛程度、症状改善的水平,性生活状况以及网片拆除后持续存在的症状。结果:19例患者经历了网片的拆除,因为慢性疼痛要求拆除网片的患者占31.6%,脱垂复发者占42.1%,网片侵蚀者占63.2%,多数患者因为多种原因拆除网片。与网片的拆除相关的并发症很少,大多数患者认为网片拆除后症状缓解。结论:网片拆除尽管有一定技术难度,但是确实是安全的,尽管一些症状持续存在,但并发症少,症状缓解率高。
Objective: To investigate the indications, disassembly and treatment effect of mesh disassembly due to complications after placing the mesh in the past vagina. Methods: A retrospective analysis of clinical data of patients with severe complications requiring removal of meshes after placing transvaginal mesh in Shengjing Hospital Affiliated to China Medical University from January 2006 to January 2009 was retrospectively analyzed. The complications such as mesh-related complications, degree of pain , The level of improvement in symptoms, sexual status, and the persistence of symptoms after removal of the mesh. RESULTS: Twenty-nine patients underwent mesh removal because chronic pain required removal of the mesh in 31.6%, prolapse and recurrence in 42.1%, and mesh erosion in 63.2%. Most patients removed the mesh for a variety of reasons . Few complications associated with the removal of the mesh are rare and most patients consider the symptoms relieved after removal of the mesh. CONCLUSIONS: Mesh removal, although technically challenging, is indeed safe, and although some symptoms persist, there are fewer complications and a high rate of symptom relief.