前盆腔网片重建加阴道后壁桥式修补术治疗子宫脱垂的临床效果  

Clinical observation on anterior pelvic floor restruction with polypropylene mesh and posterior colporrhaphy

作　　者：潘伟康[1] 顾光华[1] 李怀芳[2] 

机构地区：[1]溧阳市人民医院妇产科,常州213300 [2]同济大学附属同济医院妇产科,上海200065

出　　处：《现代妇产科进展》2014年第10期797-799,共3页Progress in Obstetrics and Gynecology

摘　　要：目的：探讨聚丙烯网片前盆腔重建加阴道后壁修补术治疗中重度子宫脱垂的临床效果。方法：选取2010年1月至2013年1月在溧阳市人民医院和同济大学附属同济医院妇产科住院手术治疗的子宫脱垂患者共117例,术前POP-Q评分子宫脱垂Ⅲ~Ⅳ度。患者均采用自制聚丙烯网片前盆腔重建加阴道后壁桥式修补术,术后随访10~46个月,观察治疗效果及手术并发症。结果：117例患者的手术时间45~85min,术中出血量80~170 ml。无1例膀胱、直肠损伤,1例于术后12个月复发,3例于术后2年后复发,9例（7.7%）患者术后有会阴部异物感和轻度疼痛,1例网片侵蚀。结论：聚丙烯网片前盆底重建加阴道后壁桥式修补术治疗子宫脱垂的效果良好,术后复发率低,手术并发症少。Objective：To evaluate clinical effectiveness of anterior pelvic floor restruc-tion with polypropylene mesh and posterior colporrhaphy surgery for moderate to severe uterine prolapsed. Methods：117 patients who underwent anterior pelvic floor restruction and posterior colporrhaphy surgery during Jan. 2010 to Jan. 2013 in People Hospital of Liyang and Tongji Hospital of Tongji University were included. All patients were diagnosed withⅢ~Ⅳdegree u-terine prolapsed before operations and followed up 10 to 46 months after repair. The effective-ness and complication of surgery was observed when follow up. Results：All operations were ac-complished successfully. The operative time was 45~85min. The blood loss was 80~170ml. No injure of bladder、urethra or rectum was noted,1 case recurred 12 months after operation and 3 case recurred 2 years after operation,9（7. 7%） patients reported foreign body sensation in peri-neum and mild pain. 1 case of mesh erosion was reported. Conclusions：Anterior pelvic floor re-struction with polypropylene mesh and posterior colporrhaphy is a safe and effective approach for severe uterine prolapsed. The recurrence and complication rate was low.

关 键 词：聚丙烯网片 前盆腔重建 阴道后壁修补 盆腔脏器脱垂 并发症 

分 类 号：R711.23[医药卫生—妇产科学]