盆底重建术临床疗效及术后网片侵蚀暴露相关因素研究

发布时间：2018-04-03 18:18

本文选题：盆底重建术　切入点：并发症　出处：《现代妇产科进展》2015年11期

【摘要】：目的:分析盆底重建术后网片侵蚀暴露相关因素及远期临床疗效。方法:选取2007年1月至2014年4月在郑州大学第三附属医院采用聚丙烯网片行盆底重建术的142例盆底器官脱垂患者,分析其术后复发及网片侵蚀暴露等并发症情况。同时选取2006年2月至2014年2月因子宫脱垂或阴道前后壁膨出行传统手术治疗的68例盆底器官脱垂患者为对照。结果:盆底重建术后复发率为2.1%(3/142),传统手术复发率为2.9%(2/68);盆底重建术的网片侵蚀暴露发生率为15.49%(22/142)。有糖尿病病史与盆底重建术后网片侵蚀暴露有关(P0.05),保留子宫则是其保护因素(P0.05)。使用网片的盆底重建术患者的术后并发症发生率明显高于对照组(P0.05),术后长期并发症发生率则少于短期,差异有统计学意义(P0.05)。结论:利用聚丙烯网片进行盆底重建术疗效确切,复发率低;控制糖尿病及保留子宫的盆底重建手术可能降低术后网片侵蚀暴露的发生,术后长期临床效果可能较短期有所改善。使用网片的盆底重建手术术后并发症较传统手术高。
[Abstract]:Objective: to analyze the related factors and long-term clinical effect of net erosion after pelvic floor reconstruction.Methods: from January 2007 to April 2014, 142 patients with pelvic floor prolapse underwent pelvic floor reconstruction with polypropylene mesh in the third affiliated Hospital of Zhengzhou University. The complications such as postoperative recurrence and net erosion exposure were analyzed.From February 2006 to February 2014, 68 patients with pelvic floor organ prolapse due to uterine prolapse or vaginal anterior and posterior wall prolapse were selected as control group.Results: the recurrence rate of pelvic floor reconstruction was 2. 1 / 142a, the recurrence rate of traditional operation was 2. 9 / 68, and the rate of net erosion in pelvic floor reconstruction was 15. 49- 22 / 142g.The history of diabetes was related to the net erosion exposure after pelvic floor reconstruction, and the preservation of uterus was the protective factor.The incidence of postoperative complications in patients with pelvic floor reconstruction using mesh was significantly higher than that in the control group (P 0.05), and the incidence of long-term complications was less than that in the short term. The difference was statistically significant (P 0.05).Conclusion: the pelvic floor reconstruction with polypropylene mesh is effective and the recurrence rate is low.The long-term clinical effect after operation may be better than that of short-term.The postoperative complications of pelvic floor reconstruction using mesh were higher than that of traditional surgery.
【作者单位】：郑州大学第三附属医院;
【分类号】：R713

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