Prolift与Gynemesh网片治疗盆腔脏器脱垂的近期疗效  

Short-term efficacy of Prolift system and Gynemesh in pelvic organ prolapse surgery

作　　者：马丽君[1] 李梅 闫小艳[1] 李际春[3] 

机构地区：[1]宁夏医科大学,宁夏银川750004 [2]宁夏海原县中医医院,宁夏海原755200 [3]宁夏医科大学附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2011年第7期626-628,共3页Ningxia Medical Journal

基　　金：宁夏科技攻关项目(NZ10168)

摘　　要：目的应用Prolift网片与Gynemesh网片,对行全盆底重建术治疗女性盆腔器官脱垂(POP)患者进行近期疗效观察。方法对24例POP患者使用Prolift盆底修复网片系统,同期选择24例患者使用Gynemesh聚丙烯补片,比较两组患者的一般资料、围手术期和随访情况并进行统计学分析。结果两组患者手术时间、出血量、尿管留置天数、住院时间及术后残余尿差异无统计学意义(P>0.05)。Prolift组随访率100%,平均随访时间(8.1±0.6)个月;1例(4.2%)术后1个月复查出现前壁Ⅰ期脱垂,1例(4.2%)出现前壁网片暴露,1例(4.2%)出现轻度压力性尿失禁。Gynemesh组随访率100%,平均随访时间(8.6±1.0)个月;1例(4.2%)术后6个月复发,2例(8.4%)出现网片暴露。结论应用两种盆底修复网片系统行盆底修复术均操作安全,并发症少,短期疗效满意,远期效果有待进一步观察。Objective To investigate the short-term clinical outcomes of the Prolift system and Gynemesh in total pelvic floor reconstruction.Methods 24 cases in Gynecare Prolift System surgery and the other 24 cases in the group of revised total pelvic floor construction with Gynemesh.The pre-operative,perioperative data and follow-up results of the two groups were compared.Results The operation time,operative hemorrhage,residue urine and the time of in-hospital of the two groups were no significant statistical significance（P〈0.05）.The follow-up rate of the Prolift group was 100%,with mean time of（8.1±0.6） months.Only 1 case（4.2%） reoccurred with anterior vaginal prolapse in 1 months after operation.1 case（4.2%） occurred exposure in anterior vaginal wall.1 case（4.2%） occurred stress urinary incontinence;The follow-up rate of the Gynemesh group was 100%,with mean time of（8.6±1.0） months.1 case（4.2%） were reoccurred and 2 cases（8.4%） were found exposure in vaginal wall.Conclusion The short-term clinical outcomes of the Prolift system and Gynemesh are both safety and feasible,and the long-term outcomes need further study.

关 键 词：全盆底重建 盆腔器官脱垂 补片 

分 类 号：R713.33[医药卫生—妇产科学]