Chen Chi Chiung Grace, Ridgeway Beri, Paraiso Marie Fidela R
Department of Obstetrics Gynecology, Cleveland Clinic, Cleveland, OH 44195, USA.
Clin Obstet Gynecol. 2007 Jun;50(2):383-411. doi: 10.1097/GRF.0b013e31804b184c.
Despite the lack of evidence, augmenting pelvic organ prolapse surgery with biologic graft or synthetic mesh is increasing. The objective of this review is to examine the available grafts and meshes and discuss the current data addressing the use of these implants in correction of apical, anterior, and posterior prolapse. Most of the studies are retrospective with few randomized controlled trials. There is level I evidence suggesting that repair of apical prolapse with abdominal sacral colpopexy using synthetic mesh results in improved outcomes. However, most of the data concerning graft or mesh incorporation in anterior or posterior repairs do not support augmentation with prosthesis.
尽管缺乏证据，但使用生物移植物或合成网片辅助盆腔器官脱垂手术的情况却在增加。本综述的目的是研究现有的移植物和网片，并讨论目前关于这些植入物用于纠正顶端、前部和后部脱垂的数据。大多数研究都是回顾性的，随机对照试验很少。有一级证据表明，使用合成网片通过腹骶阴道固定术修复顶端脱垂可改善治疗效果。然而，大多数关于在前部或后部修复中使用移植物或网片的数据并不支持使用假体进行增强。
