经阴道网状物治疗盆腔器官脱垂的疗效及患者满意度：加拿大视角
Efficacy and patient satisfaction of pelvic organ prolapse reduction using transvaginal mesh: A Canadian perspective.
作者信息
Aubé Mélanie, Guérin Marilyne, Rheaume Caroline, Tu Le Mai
机构信息
Department of Urology, Centre Hospitalier Universitaire de Sherbrooke (CHUS), Université de Sherbrooke, Sherbrooke, QC, Canada.
Department of Obstetrics and Gynecology, Centre Hospitalier de l'Université Laval (CHUL), Université Laval, Quebec City, QC, Canada.
出版信息
Can Urol Assoc J. 2018 Oct;12(10):E432-E437. doi: 10.5489/cuaj.5095. Epub 2018 May 28.
INTRODUCTION
Due to U.S Food and Drud Administration warnings and class-action lawsuits, the use of transvaginal mesh for pelvic organ prolapse surgery is controversial. We report data from two Canadian centres, focusing on recurrence and reoperation rates, complication rates, and patient satisfaction.
METHODS
A retrospective medical chart review was performed. Patients were also invited to a long-term followup clinic for a complete questionnaire and gynecological exam. Patients unable to present to clinic for followup had the option to answer the questionnaire via telephone.
RESULTS
A total of 334 patients were operated between 2000 and 2013. Median followup was 38 months for questionnaire and 36 months for physical exam. Thirty-seven patients (11.1%) required repeat operation, including 17 for recurrent prolapse and 10 for mesh exposure; 98.8% of patients reported feeling subjectively improved by their prolapse surgery.
CONCLUSIONS
Midterm results are satisfactory and patient subjective satisfaction is high following transvaginal mesh repair of pelvic organ prolapse.
引言
由于美国食品药品监督管理局的警告和集体诉讼，经阴道网片用于盆腔器官脱垂手术存在争议。我们报告了来自加拿大两个中心的数据，重点关注复发率、再次手术率、并发症发生率以及患者满意度。
方法
进行了一项回顾性病历审查。患者还被邀请到长期随访诊所，进行完整的问卷调查和妇科检查。无法到诊所进行随访的患者可以选择通过电话回答问卷。
结果
2000年至2013年间共对334例患者进行了手术。问卷调查的中位随访时间为38个月，体格检查的中位随访时间为36个月。37例患者（11.1%）需要再次手术，其中17例因复发脱垂，10例因网片暴露；98.8%的患者报告脱垂手术后主观感觉有所改善。
结论
盆腔器官脱垂经阴道网片修复的中期结果令人满意，患者主观满意度较高。
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