轻型钛化聚丙烯网片在改良全盆底重建术中的近期临床结局分析  被引量:15

Short-term effects of application of titanized polypropylene lightweight mesh in modified total pelvic floor reconstruction

在线阅读下载全文

作  者:艾方方 朱兰[1] 孙智晶[1] 陈娟[1] 史宏晖[1] 郎景和[1] 

机构地区:[1]中国医学科学院北京协和医院妇产科,北京100730

出  处:《中国实用妇科与产科杂志》2018年第2期181-185,共5页Chinese Journal of Practical Gynecology and Obstetrics

基  金:国家科技支撑计划(2014BAI05B02)

摘  要:目的评价应用轻型钛化聚丙烯网片行协和式改良全盆底重建术治疗重度盆腔器官脱垂(POP)的临床结局。方法选取北京协和医院2015年8月至2016年12月收治的重度盆腔器官脱垂并应用轻型钛化聚丙烯网片行协和式改良全盆底重建术的患者18例,评价围手术期及术后12个月内各项治疗评价指标的变化及并发症的发生情况。结果手术时间为(87.2±17.8)min;术中出血(69.4±25.1)mL;64.7%(11/17)的患者术后次日晨拔除尿管,且残余尿量<100 mL;无术中严重并发症及术后无并发症发生;术后住院(4.8±1.3)d。平均随访时间10.9个月(4~17个月)。客观治愈率达100%,主观满意度达94.1%;术后无网片暴露及侵蚀发生,5.6%(1/18)的患者术后出现新发轻度压力性尿失禁。结论应用轻型钛化聚丙烯网片行协和式改良全盆底重建术对前中盆腔POP近期疗效肯定,术后网片相关并发症的发生率低。Objective To evaluate the postoperative effect of applying titanized polypropylene lightweight mesh in modified total pelvic floor reconstruction in the treatment of severe pelvic organ prolapse(POP). Methods Eighteen cases of severe pelvic organ prolapse received modified total pelvic floor reconstruction surgery with titanized polypropylene lightweight mesh.Clinical parameters and complications during perioperative period and 12 months after surgery were analyzed.Results The mean operation time was(87.2±17.8)minutes. The mean blood loss was(69.4±25.1)mL. About 64.7%(11/17)patients were able to micturate spontaneously in the next morning after surgery with postvoid residual volume less than 100 mL. No severe intra-operative complications or the rate of postoperative morbidity were recorded. Median post-operative hospital stay was(4.8±1.3)days. The patients were followed up at mean 10.9 months(4-17 months).The objective success rate of operation reached 100%,and 94.1% experienced satisfaction after surgery. No patients were found to have exposure of mesh or erosion after surgery,and stress urinary incontinence was observed in 5.6%(1/18)cases.Conclusion The application of titanized polypropylene lightweight mesh in modified total pelvic floor reconstruction has certain short-term effects in the treatment of severe anterior vaginal prolapse and uterine prolapse,with advantage of fewer mesh-related complications.

关 键 词:盆腔器官脱垂 盆底重建 轻型钛化聚丙烯网片 

分 类 号:R711.23[医药卫生—妇产科学]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象