在一家教学机构中，接受永久性编织缝线子宫骶韧带悬吊术的患者出现的缝合并发症。
Suture complications in a teaching institution among patients undergoing uterosacral ligament suspension with permanent braided suture.
作者信息
Yazdany Tajnoos, Yip Sallis, Bhatia Narender N, Nguyen John N
机构信息
Division of Female Pelvic Medicine and Reconstructive Surgery, Harbor UCLA Medical Center, 1000 W. Carson Street, Torrance, CA 90509, USA.
出版信息
Int Urogynecol J. 2010 Jul;21(7):813-8. doi: 10.1007/s00192-010-1109-1. Epub 2010 Feb 26.
INTRODUCTION AND HYPOTHESIS
Our study aimed to identify the rate of suture complications over a 5-year period using braided permanent suture for uterosacral ligament suspension (USLS) surgery.
METHODS
We reviewed the medical records of patients who underwent vaginal uterosacral ligament suspensions using braided polyester suture. Outcome measures included rate and timing of suture complications, patient symptoms post-operatively, efficacy of treatment modalities and surgical success.
RESULTS
Eighty-three patients had undergone USLS with braided, polyester suture over the study period that met inclusion criteria. Thirty-seven patients (44.6%) had suture-related complications post-operatively with a mean follow-up of 10.4 months. When only silver nitrate was applied, 16.7% improved, and when the suture was cut in clinic, 77.8% resolved.
CONCLUSIONS
Permanent polyester braided suture for suspension of vaginal vault may lead to an unacceptably high suture erosion rate, cutting the suture in clinic results in the highest resolution.
引言与假设
我们的研究旨在确定在5年期间使用编织永久性缝线进行子宫骶韧带悬吊术（USLS）时缝线并发症的发生率。
方法
我们回顾了使用编织聚酯缝线进行阴道子宫骶韧带悬吊术患者的病历。观察指标包括缝线并发症的发生率和时间、患者术后症状、治疗方式的疗效以及手术成功率。
结果
在研究期间，83例患者接受了符合纳入标准的编织聚酯缝线USLS手术。37例患者（44.6%）术后出现缝线相关并发症，平均随访10.4个月。仅应用硝酸银时，16.7%的患者病情改善，在临床中剪断缝线时，77.8%的患者病情得到缓解。
结论
用于阴道穹窿悬吊的永久性聚酯编织缝线可能导致过高的缝线侵蚀率，在临床中剪断缝线可使病情缓解率最高。
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