经阴道全盆底网片悬吊术的临床效果分析  

Transvaginal pelvic mesh sling-wide clinical effectiveness analysis

作　　者：史新英 夏恩兰[2] 

机构地区：[1]青海省民和县中医院妇产科,青海民和810800 [2]北京复兴医院宫腔镜中心,北京100038

出　　处：《中国现代医学杂志》2012年第21期102-104,共3页China Journal of Modern Medicine

摘　　要：目的探讨分析聚丙烯网片在全盆底重建术（保留子宫）治疗盆腔器官脱垂的效果及并发症。方法我院妇科2010年11月~2011年10月收治9例盆腔多个部位缺陷的脏器脱垂患者行全盆底重建术。8例患者存在三个部位的缺陷,1例患者存在两个部位的缺陷。结果 9例患者手术时间60-150 min,平均（85±4.3）min,术中出血量150-400 mL,平均（200±10.1）mL。9例患者术后恢复好,无感染发生。住院天数5-9 d,平均（6±0.7）d。所有病例穿刺顺利,未见血肿,血管及脏器损伤。术后随访1-12月,患者盆底结构基本正常,相关症状消失或明显改善。1例患者术后5周复查时发现有网片侵蚀。结论经阴道全盆底悬吊术是一种能治疗多区域、复杂型盆腔器官脱垂的微创手术。在保留子宫的同时能完成全盆底结构和功能的全部或部分重建。短期疗效稳定,长期疗效有待于进一步观察。[ Objective ] To discuss clinical efficacy and complication of using polypropylene net in pelvic floor reconstruction to treat pelvic floor organ prolapsus. [Methods] From October 2007 to May 2008, 15 cases of organ prolapsus of many region defect in pelvic cavity were operated pelvic floor reconstruction. 8 cases had three regional defects, and 1 case had two regional defects. [Results] The time of operation for 9 cases ranged from 60 to 150 minutes （mean, 85±4.3 minutes）. The amount of bleeding in operations ranged from 150 to 400 mL （mean, 200±10.1 mL）. 9 cases recovered well after operation without infection. The days in hospital were 5 to 9 （mean, 6±0.7）. All of cases were punctured smoothly without hematoma and injury of blood vessel and organs. Following up 1 to 12 months, pelvic floor structure of all patients were normal, and interrelated symptom disappeared or improved, lcases was discovered the net was eroded after 5 weeks. [ Conclusion] Pelvic floor suspension by vagina is a micro operation to treat complicated pelvic floor organ prolapsus. It can accomplish pelvic floor reconstruction and Reserve uterus simultaneously. Healing efficacy is stable in short-term, but need further observation.

关 键 词：盆腔脏器脱垂 全盆底悬吊术 网片 

分 类 号：R713[医药卫生—妇产科学]