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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

潘伟康 顾光华 李怀芳

现代妇产科进展Issue(10):797-799,3.
现代妇产科进展Issue(10):797-799,3.DOI:10.13283/j.cnki.xdfckjz.2014.10.028

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

潘伟康 1顾光华 1李怀芳2

作者信息

  • 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
  • 折叠

摘要

Abstract

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

Key words

Polypropylene mesh/Anterior pelvic floor restruction/Posterior colpor-rhaphy/Pelvic floor prolapse/Complications

分类

医药卫生

引用本文复制引用

潘伟康,顾光华,李怀芳..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[J].现代妇产科进展,2014,(10):797-799,3.

现代妇产科进展

OA北大核心CSCDCSTPCD

1004-7379

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