聚丙烯补片在改良盆底重建修复盆腔脏器脱垂中的应用

发布时间：2018-01-15 17:15

本文关键词：聚丙烯补片在改良盆底重建修复盆腔脏器脱垂中的应用　出处：《中国组织工程研究》2015年12期 　论文类型：期刊论文

【摘要】：背景:合成补片是重要的盆底组织替代物,能够替代薄弱受损的盆底筋膜组织,己被广泛应用于盆底薄弱组织的修补重建中。目的:观察补片在改良盆底重建修复盆腔脏器脱垂的疗效及并发症,探讨其安全性及有效性。方法:纳入45例女性盆腔脏器脱垂患者,根据患者意愿分两组治疗,试验组25例经阴道植入聚丙烯补片进行改良盆底重建修复,对照组20例采用传统经阴道全子宫切除联合阴道壁修补治疗,记录两组围手术期情况,随访评价两组子宫脱垂分期、并发症、盆底功能及盆底不适情况,以及客观治愈率。结果与结论:与对照组比较,试验组手术时间短、出血量小、感染轻、恢复快(P均0.05)。随访6个月时,试验组子宫脱垂分期评分高于对照组;随访12个月时,试验组并发症发生率、盆底功能影响评分及盆底不适情况评分均低于对照组(P0.05),客观治愈率高于对照组(P0.05)。表明采用聚丙烯补片进行盆底重建修复盆腔脏器脱垂具有手术时间短、出血量小、恢复快、裸露率低等特点,同时能显著提高盆底功能,改善盆底不适情况,降低术后并发症的发生,提高客观治愈率,短期随访安全有效。
[Abstract]:Background: synthetic patches are important pelvic floor tissue substitutes for weak damaged pelvic floor fascia. It has been widely used in the repair and reconstruction of weak pelvic floor tissue. Objective: to observe the curative effect and complications of the modified pelvic floor reconstruction in the repair of pelvic organ prolapse. Methods: 45 female patients with pelvic organ prolapse were divided into two groups according to the wishes of the patients and 25 patients in the experimental group were treated with modified pelvic floor reconstruction. 20 cases in the control group were treated with traditional transvaginal hysterectomy combined with vaginal wall repair. The perioperative period of the two groups was recorded. The stage of uterine prolapse, complications, pelvic floor function and pelvic floor discomfort were evaluated. Results and conclusion: compared with the control group, the experimental group had shorter operation time, less bleeding, less infection and better recovery (P < 0.05). The stage score of uterine prolapse in the test group was higher than that in the control group. At 12 months follow-up, the incidence of complications, pelvic floor function impact score and pelvic floor discomfort score in the trial group were lower than those in the control group (P 0.05). The objective cure rate was higher than that of the control group (P0.05A), which indicated that the pelvic floor reconstruction and repair of pelvic viscera prolapse with polypropylene patch had the characteristics of short operation time, small amount of bleeding, quick recovery and low rate of nudity. At the same time, it can significantly improve pelvic floor function, improve pelvic floor discomfort, reduce postoperative complications, improve the objective cure rate, and short-term follow-up is safe and effective.
【作者单位】：苏州大学医学院附属张家港医院妇科;张家港市第一人民医院妇科;
【分类号】：R711.2
【正文快照】： 0引言Introduction腔脏器脱垂,在修复受损结构同时,最大限度保持了盆底盆腔脏器脱垂(pelvic organ prolapse,POP)是女性生结构的完整性。殖器官由于退化、创伤等因素导致盆底支持薄弱,造成女性生殖器官与其相邻脏器发生的移位,严重影响了女性身1对象和方法Subjects and method

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