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目的:探讨网片(mesh)在女性盆底重建手术中应用的可行性及有效性。方法:对10例不同程度盆底功能障碍性疾病患者,依照POP-Q评估系统将盆腔器官膨出分度,应用网片对阴道前壁加固术及应用网带经阴道后路悬吊带术,治疗盆底组织膨出(POP)及/或压力性尿失禁(SUI)。结果:10例患者平均年龄51岁,手术时间46分钟,出血量平均86ml,住院时间5天~17天,术后平均随访18个月。随访期间无膀胱膨出复发,手术后6个月有1例患者再度出现了直肠膨出,一例出现排异反应。结论:手术微创、无复发(短期内)、并发症少、解决了既往无法解决的后尿路悬吊治疗子宫脱垂阴道后壁再次脱垂的棘手问题,并可保留子宫,在临床有可行性,在本领域具有明显的先进性和创新性。
Objective: To investigate the feasibility and effectiveness of mesh in female pelvic floor reconstruction. Methods: Ten patients with pelvic floor dysfunction disease of different degrees were enrolled in this study. Pelvic organ bulge was indexed according to POP-Q evaluation system. Meshes were applied to the anterior vaginal wall to reinforce the vagina and the vaginal posterior vaginal tape was applied. Treatment of pelvic floor tissue bulging (POP) and / or stress urinary incontinence (SUI). Results: The average age of the 10 patients was 51 years, the operation time was 46 minutes, the average amount of bleeding was 86ml, the length of stay was 5 days to 17 days, and the average follow-up time was 18 months. No recurrence of cystocele was observed during the follow-up period. One case of rectal prolapse occurred again in 6 months after operation, and an abnormal reaction occurred in one case. Conclusion: The minimally invasive surgery without recurrence (short term) has fewer complications and solves the thorny problem of retropulmonary prolapse of the uterine prolapse and prolapse of the posterior wall of the vagina again, which can not be solved in the past. Feasibility, in the field has obvious advanced and innovative.