经阴道 Prolift 网片修复术后的手术干预：回顾性单中心研究，纳入 524 例患者，中位随访时间 3 年。
Surgical intervention after transvaginal Prolift mesh repair: retrospective single-center study including 524 patients with 3 years' median follow-up.
机构信息
Department of Gynecologic Surgery, Hôpital Jeanne de Flandre, Lille, France.
出版信息
Am J Obstet Gynecol. 2012 Jan;206(1):83.e1-7. doi: 10.1016/j.ajog.2011.07.040. Epub 2011 Jul 30.
OBJECTIVE
The aim of this study was to explore the nature and rate of surgical intervention after transvaginal Prolift mesh repair for pelvic organ prolapse.
STUDY DESIGN
This was a retrospective study of all patients who underwent Prolift mesh repair between January 2005 and January 2009. Patient data were obtained from medical records, and patients were telephoned to check if they had surgery in other hospitals.
RESULTS
A total of 600 consecutive patients were identified. Of these, 524 patients (87.3%) were included in the study, with a median follow-up duration of 38 months (range, 15-63). Global reoperation rate was 11.6%. Indications of intervention were surgery for urinary incontinence (6.9%), mesh-related complications (3.6%), or prolapse recurrence (3%).
CONCLUSION
The global reoperation rate after transvaginal Prolift mesh repair was 11.6%, with urinary incontinence surgery being the most common indication. Rates of mesh complications and prolapse recurrence are relatively low in an experienced team.
目的
本研究旨在探讨经阴道 Prolift 网片修补术治疗盆腔器官脱垂后手术干预的性质和发生率。
研究设计
这是一项对 2005 年 1 月至 2009 年 1 月期间接受 Prolift 网片修补术的所有患者进行的回顾性研究。患者数据来自病历，通过电话询问患者是否在其他医院接受过手术。
结果
共确定了 600 例连续患者。其中，524 例（87.3%）患者纳入研究，中位随访时间为 38 个月（范围为 15-63 个月）。总体再次手术率为 11.6%。干预的指征是尿失禁手术（6.9%）、网片相关并发症（3.6%）或脱垂复发（3%）。
结论
经阴道 Prolift 网片修补术后的总体再次手术率为 11.6%，其中尿失禁手术是最常见的指征。在有经验的团队中，网片并发症和脱垂复发的发生率相对较低。
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