经阴道后路吊带成形术：118例连续病例的疗效及并发症
Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases.
作者信息
Cosma Stefano, Preti Mario, Mitidieri Marco, Petruzzelli Paolo, Possavino Federica, Menato Guido
机构信息
Department of Gynecology and Obstetrics, University of Turin, Turin, Italy.
出版信息
Int Urogynecol J. 2011 May;22(5):611-9. doi: 10.1007/s00192-010-1350-7. Epub 2011 Jan 14.
INTRODUCTION AND HYPOTHESIS
Posterior intravaginal slingplasty (PIVS) is a minimally invasive procedure that aims to suspend vaginal vault. Our study evaluated efficacy and complications of PIVS at long-term follow-up.
METHODS
One hundred eighteen consecutive women underwent PIVS operation for Pelvic Organ Prolapse Quantification stage 3 or 4 vaginal cuff prolapse (VCP; 25 patients) or utero-vaginal prolapse (UVP; 93 patients). Apical vaginal wall at stage 0 or 1 was considered as cured.
RESULTS
Follow-up mean duration was 58.6 months (range, 24-84 months). The success rate of PIVS was 96.6%. Some 8.5% mesh erosion (20% in patients with VCP and 5.4% with UVP), 2.5% vaginal-perineal fistula, and 3.4% paravaginal hematoma occurred. Neither erosion nor fistulas occurred with monofilament polypropylene mesh.
CONCLUSION
PIVS seems a safe and effective procedure for VCP and UVP. Vaginal erosion was mainly observed in patients with VCP treated with multifilament polypropylene mesh.
引言与假设
经阴道后路吊带成形术（PIVS）是一种旨在悬吊阴道穹窿的微创手术。我们的研究评估了PIVS长期随访的疗效和并发症。
方法
118例连续女性因盆腔器官脱垂定量分期3期或4期阴道顶端脱垂（VCP；25例）或子宫阴道脱垂（UVP；93例）接受了PIVS手术。0期或1期的阴道顶端壁被视为治愈。
结果
平均随访时间为58.6个月（范围24 - 84个月）。PIVS的成功率为96.6%。发生了约8.5%的网片侵蚀（VCP患者中为20%，UVP患者中为5.4%）、2.5%的阴道会阴瘘和3.4%的阴道旁血肿。单丝聚丙烯网片未发生侵蚀和瘘管。
结论
PIVS似乎是治疗VCP和UVP的一种安全有效的手术。阴道侵蚀主要见于使用多丝聚丙烯网片治疗的VCP患者。
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