摘要
Abstract
OBJECTIVE: To introduce the clinical application advances of patch in obstetrics and gynecology diseases and evaluate the biocompatibility of various patches and host. METHODS: A computer-based online search of CNKI (1989/2009) and Medline database (1989/2009) was performed using the key words of "patch, obstetrics and gynecology diseases, treatment" in Chinese and "obstetrics and gynecology diseases, treatment" in English. A total of 53 articles were collected, and 23 were selected according to inclusion and exclusion criteria. The content concerning clinical application advances of patch in obstetrics and gynecology diseases and the biocompatibility and complications of various patches was summarized. RESULTS: Patch has been widely used in treating female pelvic floor dysfunction, including total pelvic cavity reconstruction, anterior and posterior vaginal wall repair and vagina fornix sacral suspension. It is simple and effective. Currently, the reconstruction materials include autologous, allograft, xenograft, synthesized nonabsorbable and absorbable patches, and acellular patch. They have specific advantages and disadvantages. Common complications of patch include infection and erosion. The tension-free patch reduces incidence of complications. CONCLUSION: Patch implants have been mainly used for female pelvic floor dysfunction, showing favorable effect. Of various patches, synthesized nonabsorbable patch and acellular patch display low infection, little complication and good biocompatibility. Tension-free and aseptic patches, and effective hemostasis effectively decrease incidence of infection and erosion.关键词
补片/妇产科疾病/盆底重建/生物相容性/并发症分类
医药卫生
