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目的:初步探讨生物补片在女性盆腔脏器脱垂(POP)手术重建盆底功能术中的应用。方法:2010年3月~2012年10月在我院因POP应用生物补片行盆底修补手术的患者共23例,患者均同时存在2个或2个以上部位缺陷,均行阴式全子宫切除、阴道前后壁修补术,术后对患者进行随访。结果:手术均成功,手术时间70~195min,平均138.4min,其中放置补片的时间平均为11min;术中出血平均221ml(50~500ml)。随访5~24个月,无补片侵蚀,无感染发生。2例Ⅳ期患者分别于子宫切除术后14个月和17个月出现穹窿膨出Ⅰ期,患者无不适主诉和症状;余21例患者术后妇科检查POP-Q分期各位点均在正常范围。23例患者术后1月随访时大小便正常。术后测残余尿平均36.7ml(0~185ml)。有性生活者术后性生活满意。结论:生物补片可用于盆腔脏器脱垂手术中,术后短期随访,患者耐受性好,并发症少,不影响患者术后性生活质量。但远期效果有待进一步的观察和研究。
Objective: To investigate the application of biological patch in reconstruction of pelvic floor surgery with female pelvic organ prolapse (POP). Methods: From March 2010 to October 2012, 23 patients with pelvic floor repair due to POP application of biological patch were treated in our hospital. All patients had 2 or more defects at the same time. All patients underwent vaginal uterus Excision, vaginal anterior and posterior wall repair, postoperative follow-up of patients. Results: The operation was successful. The operation time was 70 ~ 195min, with an average of 138.4min. The average time for placement of patch was 11min. The average bleeding volume during operation was 221ml (50 ~ 500ml). Follow-up of 5 to 24 months, no patch erosion, no infection occurred. 2 cases of stage Ⅳ patients at 14 months and 17 months after hysterectomy were fornix bulging stage Ⅰ, the patient had no complaints and symptoms; the remaining 21 cases of postoperative gynecological examination POP-Q staging in all the sites were in the normal range . Twenty-three patients were normal urine at follow-up at 1 month. Postoperative residual urine average 36.7ml (0 ~ 185ml). Sexual life after sexual satisfaction. Conclusion: The bio-patch can be used in pelvic organ prolapse surgery, short-term follow-up after surgery, patients with good tolerance, fewer complications, does not affect the quality of postoperative sexual life. However, the long-term effect needs further observation and research.