摘要
目的探讨网片在女性盆底重建术中的应用效果。方法选择40例接受女性盆底重建手术治疗的患者作为研究对象,将其按照随机数字表格法分为观察组与对照组,各20例,观察组采用聚丙烯网片盆底组织悬吊术治疗,对照组给予传统阴式子宫切除加阴道前后壁修补术治疗。经治疗后,对两组患者的术中出血量、手术时间、残余尿量、术后复发率以及术后性生活满意度进行比较分析。结果两组手术均成功,在手术时间、术中出血量、残余尿量等方面相比较,观察组要显著优于对照组,经统计学分析组间差异显著（P〈0.05）。手术后进行6~24个月的随访,观察组患者手术之后没有出现尿失禁、下腹坠胀及便秘等情况,未出现网片感染以及侵蚀情况。结论网片应用于女性盆底重建术简单安全,短期治疗效果较为理想。
Objective To explore the therapeutic efficacy of mesh in female pelvic floor reconstruction. Method40 patients who underwent female pelvic floor reconstruction were selected as the subject,and then were assigned into observation group and control group according to the method of random digit tablet with 20 cases in each. Patients in the observation were treated with polypropylene mesh pelvic floor tissue ventrofixation,and patients in the control group were treated with traditional vaginal anterior and posterior wall neoplasty. After treatment,a comparative analysis was made between the two groups in terms of intraoperative bleeding volume,operation time,residual urine volume,postoperative recurrence rate and satisfaction in postoperative sexual life. Results The operation of patients in both groups was successful. When a comparison was made in terms of operation time,intraoperative bleeding volume and residual urine volume,the efficacy of observation group was better than that of control group,and the difference after inter-group statistical analysis was significant（ P 0. 05）. The patients were followed up from 6 to 24 months after the operation. The patients in observation group did not experience urinary incontinence,lower abdominal dragging and distending and constipation,and no mesh infection and erosion occurred. Conclusion The application of mesh to the female pelvic floor reconstruction is simple and safe,and the short term therapeutic efficacy is relatively ideal.
出处
《中南医学科学杂志》
CAS
2015年第5期546-548,553,共4页
Medical Science Journal of Central South China
关键词
盆腔器官脱垂
盆底重建
网片
prolapse of pelvic organs
pelvic floor reconstruction
mesh
