网片在盆腔脏器脱垂及压力性尿失禁治疗中的应用  

Application of mesh in treating pelvic organ prolapse and stress urinary incontinence

作　　者：练云[1] 毛春蓉[1] 何宇辉[1] 

机构地区：[1]江苏省东台市人民医院妇产科,224200

出　　处：《江苏医药》2011年第22期2646-2648,共3页Jiangsu Medical Journal

摘　　要：目的探讨网片治疗盆腔脏器脱垂(POP)及压力性尿失禁(SUI)的临床疗效。方法 11例POP和7例SUI患者行网片悬吊带术,同期13例POP和6例SUI患者行传统手术阴道前壁修补或耻骨后膀胱尿道悬吊术。比较手术相关指标和远期疗效。结果行网片悬吊带术的POP和SUI患者的手术时间、术中出血量、尿管留置时间、住院天数均明显少于传统手术者(P<0.01或P<0.05);随访网片悬吊带术患者,未出现膀胱、尿道、直肠损伤和吊带、补片侵蚀及脏器脱垂复发等。结论与传统手术比较,在女性盆底重建术中应用网片悬吊具有操作简便、效果确切和并发症少的优点。Objective To summarize the outcomes of application of mesh in treating pelvic organ prolapse（POP） and stress urinary incontinence（SUI）. Methods The outcomes were compared between the patients received mesh repair for POP surgery in 11 cases and SUI in 7 cases and those underwent conventional surgeries for POP in 13 cases and SUI in 6 cases. Results The operation time,surgical blood loss,indwelling time of urinary catheter,hospital stay and relapse were all less in the patients received mesh repare than those underwent conventional surgeries（P0.01or P0.05）.The surgeries with mesh were successful without recurrence of POP or any injury of the bladder,urethra and rectum or the erosion of vaginal tape and mesh. Conclusion Compared to conventional surgeries,pelvic reconstruction surgery with mesh has the advantages of simplicity,reliability and less complications.

关 键 词：网片 盆腔脏器脱垂 尿失禁 

分 类 号：R713[医药卫生—妇产科学]