腹骶阴道会阴固定术联合子宫切除术术后网片侵蚀的风险
Risk of mesh erosion after abdominal sacral colpoperineopexy with concomitant hysterectomy.
作者信息
Nosti Patrick A, Lowman Joye K, Zollinger Terrell W, Hale Douglass S, Woodman Patrick J
机构信息
Department of Obstetrics and Gynecology, Indiana University, Indianapolis, IN, USA.
出版信息
Am J Obstet Gynecol. 2009 Nov;201(5):541.e1-4. doi: 10.1016/j.ajog.2009.07.053. Epub 2009 Sep 20.
OBJECTIVE
The purpose of this study was to evaluate the effect of concomitant hysterectomy at the time of abdominal sacral colpoperineopexy on the risk of mesh erosion with the use of type 1 polypropylene mesh.
STUDY DESIGN
This was a retrospective case control study. All cases of vaginal mesh erosion (n = 31) were compared with matched control cases (n = 93) in a 3:1 ratio. Demographic data, concomitant procedures, and postoperative complications were compared between groups with the use of 2-sample Student t test and Pearson chi(2) test.
RESULTS
The odds ratio of a vaginal mesh erosion was no different for those who underwent a hysterectomy at the time of abdominal sacral colpoperineopexy (odds ratio, 0.95; 95% confidence interval, 0.41-2.18; P = .899) when potential confounders were similar between groups.
CONCLUSION
Hysterectomy at the time of abdominal sacral colpoperineopexy is not a risk factor for vaginal mesh erosion with the use of type 1 polypropylene mesh.
目的
本研究旨在评估在腹骶会阴固定术时同时进行子宫切除术对使用1型聚丙烯网片发生网片侵蚀风险的影响。
研究设计
这是一项回顾性病例对照研究。所有阴道网片侵蚀病例（n = 31）与匹配的对照病例（n = 93）按3:1的比例进行比较。使用双样本Student t检验和Pearson卡方检验比较两组之间的人口统计学数据、同期手术和术后并发症。
结果
当两组之间潜在混杂因素相似时，在腹骶会阴固定术时接受子宫切除术的患者发生阴道网片侵蚀的比值比没有差异（比值比，0.95；95%置信区间，0.41 - 2.18；P = 0.899）。
结论
在腹骶会阴固定术时进行子宫切除术不是使用1型聚丙烯网片发生阴道网片侵蚀的危险因素。
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