使用聚丙烯网片（Gynemesh）进行阴道前壁修复的疗效及结果
Efficacy and outcome of anterior vaginal wall repair using polypropylene mesh (Gynemesh).
作者信息
Jo Hoenil, Kim Jae Weon, Park Noh Hyun, Kang Soon Beom, Lee Hyo Pyo, Song Yong-Sang
机构信息
Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.
出版信息
J Obstet Gynaecol Res. 2007 Oct;33(5):700-4. doi: 10.1111/j.1447-0756.2007.00635.x.
AIM
The aim of the present study was to assess the safety and efficacy of anterior vaginal wall repair using polypropylene mesh for the correction of anterior vaginal wall prolapse.
METHODS
From May 2001 to March 2005, 38 patients with cystoceles or uterine prolapse underwent transvaginal repair with implantation of polypropylene mesh. In all 38 patients anterior vaginal wall repair was done concurrently with other procedures: vaginal hysterectomy, n = 18 (47.4%) and tension-free vaginal tapes n = 22 (57.9%).
RESULTS
Preoperatively 26 patients (68.4%) had stage III/IV prolapse on pelvic organ prolapse quantification examination. After mean follow up of 23.4 months, the objective cure rate at 12 and 18 months was 94.5% and 94.3%, respectively. As for complications associated with placement of the polypropylene mesh, no tissue erosion or infection was found.
CONCLUSIONS
Transvaginal implantation of polypropylene mesh is an effective and safe technique for the correction of anterior vaginal wall prolapse.
目的
本研究旨在评估使用聚丙烯网片进行阴道前壁修补术治疗阴道前壁脱垂的安全性和有效性。
方法
2001年5月至2005年3月，38例膀胱膨出或子宫脱垂患者接受了经阴道聚丙烯网片植入修补术。38例患者均同时进行了其他手术：阴道子宫切除术，18例（47.4%）；无张力阴道吊带术，22例（57.9%）。
结果
术前26例（68.4%）患者在盆腔器官脱垂定量检查中为III/IV期脱垂。平均随访23.4个月后，12个月和18个月时的客观治愈率分别为94.5%和94.3%。至于与聚丙烯网片放置相关的并发症，未发现组织侵蚀或感染。
结论
经阴道植入聚丙烯网片是治疗阴道前壁脱垂的一种有效且安全的技术。
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