Prolift和Avaulta补片前盆腔重建手术疗效分析  

Comparsion of the effect of Prolift and Avaulta system in the anterior pelvic floor reconstruction

作　　者：马辛欣 孙秀丽[1] 杨欣[3] 王建六[1] 

机构地区：[1]北京大学人民医院妇产科,盆底疾病诊疗中心,100044 [2]北京市航空总医院妇产科 [3]北京大学人民医院妇产科盆,底疾病诊疗中心,100044

出　　处：《中国妇产科临床杂志》2014年第6期498-501,共4页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的比较Gynecare Prolift TM盆底重建系统和Avaulta SoloTM骨盆底修复系统在前盆腔重建手术中的疗效和并发症,探讨更为适宜的前盆腔重建手术补片。方法回顾性分析2008年1月至2013年12月北京大学人民医院妇产科30例因重度前盆腔器官脱垂接受Prolift和Avaulta补片患者的临床资料,其中Prolift手术18例(Prolift组),Avaulta手术12例(Avaulta组),比较两组患者的术中及术后情况。结果两组患者术中均穿刺顺利,无脏器损伤及血肿发生。Prolift组平均出血量[(101.7±50.6)ml]与Avaulta组[(65.8±39.4)ml]比较,差异有统计学意义(P<0.05)。Prolift组术后新发压力性尿失禁(SUI)3例,补片侵蚀2例,阴道后壁或前壁脱垂复发8例,其中复发部位在治疗腔室者2例,在非治疗腔室者6例。Avaulta组术后无新发SUI,补片侵蚀2例,阴道后壁或前壁脱垂复发6例,其中复发部位在治疗腔室者3例,在非治疗腔室者3例。两组患者手术前后POP-Q分期比较,差异有统计学意义(P<0.05)。结论采用Gynecare Prolift TM盆底重建系统和Avaulta SoloTM骨盆底修复系统治疗重度前盆腔器官脱垂,可达到解剖学恢复,有一定的疗效,且并发症少。Objecte Compare the clinical effect and complication between Gynecare Prolift TMpelvic floor reconstruction system and Avaulta SoloTMpelvic floor repair system polypropylene mesh in anterior pelvic reconstruction operation,to explore the more suitable patch of anterior pelvic floor reconstruction operation.Methods Clinical data of 30 cases with severe anterior pelvic organ prolapse（POP）who underwent pelvic floor reconstruction between January,2008 to December,2013 in Peking University People’s Hospital Department of gynaecology and obstetrics were analyzed retrospectively.18 cases received Gynecare Prolift TM（group Prolift）and 12 cases used AvaultaTMoperation（group Avaulta）.Parameters of the two groups were compared.Results Patients in the two groups were punctured successfully,no damage to the viscera and no hematoma.The average amount of bleeding in Prolift group[（101.7±50.6）ml]and Avaulta group[（65.8±39.4）ml]had no significant difference（P〈0.05）.In Prolift group,there were 3cases of De Novot SUI,2cases of mesh erosion,8cases of prolapse recurrence including 2cases of recurrence sites in the treatment chamber and 6cases of non treatment chamber.While in Avaulta group,there were 2cases of mesh erosion,6cases of prolapse recurrence including 3cases of recurrence sites in the treatment chamber and 3cases of non treatment chamber,but no De Novo SUI in this group.As for POP-Q quantitative stages before and after surgery,there was no statistical difference between the two groups（P〈0.05）.Conclusions Using Gynecare Prolift TMpelvic floor reconstruction system and Avaulta SoloTMpelvic floor repair system in the treatment of severe anterior pelvic organ prolapse can decrease the recurrence rate of prolapse,and the complications is less.

关 键 词：盆腔器官脱垂 前盆腔重建术 Gynecare PROLIFT TM系统 Avaulta SoloTM系统 疗效 

分 类 号：R713[医药卫生—妇产科学]