合成网片在盆底重建中的临床应用46例分析

目的:探讨合成网片在女性盆底重建手术中使用的安全性及有效性。方法:选择2009年1月-2010年1月在我院妇产科行盆底修复/重建手术病人共76例,其中46例不同程度盆底功能障碍性疾病(子宫脱垂,阴道前、后壁脱垂)的患者使用网片进行盆底重建手术(实验组),30例行传统的盆底修复手术(对照组),比较两组在手术时间、术中出血量及术后复发率等之间的差异。结果:与对照组相比,实验组手术时间短,术中出血量少。术后随访2年,实验组无一例复发,2例术后半年出现网片侵蚀。对照组2例复发。结论:合成网片在女性盆底重建术中,操作简单,手术时间短,出血量少,术后复发率低,在临床上值得推广。

Clinical Application of Synthetic Mesh in Female Pelvic Floor Reconstruction

Objective:To investigate the safety and effectiveness of synthetic mesh in female pelvic floor reconstruction.Methods:The clinical data were retrospectively analyzed in 76 patients undergone pelvic floor reconstruction in our hospital between Jan.2009 and Jan.2010.Of the 76 cases,46 patients(experiment group) with varied degrees of pelvic floor dysfunctions(uterine prolapse, anterior or posterior vaginal wall prolapse) used synthetic mesh for pelvic floor reconstruction. The other 30 patients(control group) received the traditional pelvic floor reconstruction.Results; The average surgery time was shorter and blood loss was less in experiment group as compared with control group.All patients in experiment group had no recurrence after operation and only two cases had mesh erosion after six months of surgery.However,pelvic floor dysfunctions reoccurred in two cases in control group.Conclusion:The synthetic mesh is a simple method in female pelvic floor reconstruction with shorter operative time,less blood loss,and low rate of recurrence.