盆底器官脱垂手术治疗中补片的适应证、禁忌证及并发症
Indications, contraindications, and complications of mesh in surgical treatment of pelvic organ prolapse.
作者信息
Ellington David R, Richter Holly E
机构信息
Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
出版信息
Clin Obstet Gynecol. 2013 Jun;56(2):276-88. doi: 10.1097/GRF.0b013e318282f2e8.
Abstract
Women are seeking care for pelvic organ prolapse in increasing numbers and a significant proportion of them will undergo a second repair for recurrence. This has initiated interest by both surgeons and industry to utilize and design prosthetic mesh materials to help augment longevity of prolapse repairs. Unfortunately, the introduction of transvaginal synthetic mesh kits for use in women was done without the benefit of level 1 data to determine its utility compared with native tissue repair. This report summarizes the potential benefit/risks of transvaginal synthetic mesh use for pelvic organ prolapse and recommendations regarding its continued use.
摘要
越来越多的女性因盆腔器官脱垂寻求治疗，其中很大一部分人将因复发而接受二次修复手术。这引发了外科医生和行业对使用和设计人工合成网片材料以延长脱垂修复手术持久性的兴趣。不幸的是，用于女性的经阴道合成网片套件在引入时，并没有一级数据来确定其与天然组织修复相比的效用。本报告总结了经阴道合成网片用于盆腔器官脱垂的潜在益处/风险以及关于其继续使用的建议。
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