补片在女性盆底功能障碍性疾病中的应用  

The Application of Mesh in Female Pelvic Floor Dysfunction

作　　者：蔡丽萍[1] 易为民[1] 朱虹[1] 涂春华[1] 

机构地区：[1]南昌大学第一附属医院妇产科,江西南昌330006

出　　处：《实用临床医学（江西）》2006年第9期100-103,共4页Practical Clinical Medicine

摘　　要：目的探讨补片（mesh）在女性盆底重建手术中应用的可行性和有效性。方法：对15例不同程度盆底功能障碍性疾病患者采用了放置补片的阴道前后壁修补术加经阴道阴道旁修补术（VPVR）或骶棘韧带固定术（SSLF）。结果：15例患者手术时间平均为55min（50～70min）；术中出血量平均为90mL（50～120mL）；住院时间平均为4～7d，全部顺利完成手术，且无一例膀胱、尿道、直肠损伤并发症发生。结论：补片在女性盆底重建手术中的应用操作简便、易于掌握、并发症少、术后患者近期复发率低，新的术式对于盆底功能障碍性疾病的治疗具有一定积极意义，疗效明显、稳定。Objective：To explore the feasibility and effectiveness of mesh in the treatment of female pelvic floor reconstuction. Methods： Fifteen patients with different defects of pelvic floor underwent,single or mixed,vaginal anterior repair or posterior vaginal repair with mesh,vaginal paravaginal repair （VPVR）, and sacrospinovs ligament fixation （SSLF）. Results ： The operation time was 55 min（50-70 min）;the mean hemorrage was 90 mL（50-120 mL）;the meanperiod of follow-up time after operation were 4-7 d,All operations succeeded and none had complications about bladder,urinary and rectum. Conclusion：The application of mesh in female pelvic reconstuction surgery was simple and easy, the complication occurred rarely,the short-time recurrence rate was low. New surgical technic could really do something active in the treatment of female pelvic floor dysfunction. The short-term results are promising and stable,long-term outcome needs further study.

关 键 词：盆底功能障碍 补片 经阴道阴道旁修补术 骶棘韧带固定术 

分 类 号：R711[医药卫生—妇产科学]