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宋力雯,吴逸,丘瑾,等.两种全盆底重建手术的围手术期情况及短期疗效比较[J].同济大学学报（医学版）,2012,33(1):69-74. [点击复制]
SONG Li-wen,WU Yi,QIU Jin,et al.Short-term efficacy of two surgical modalities for pelvic floor reconstruction: a comparative study[J].同济大学学报（医学版）,2012,33(1):69-74. [点击复制]

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两种全盆底重建手术的围手术期情况及短期疗效比较
宋力雯¹,吴逸¹,丘瑾¹,王颖懿¹,童晓文²,成佳景¹
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(1. 同济大学附属第十人民医院妇产科,上海 200072;2. 同济大学附属同济医院妇产科,上海 200065)

摘要:

目的比较两种不同的全盆底重建手术方案:Gynemesh全盆底重建及ProliftTM系统的围手术期情况及短期疗效,以确定一种经济有效、适合中国人的全盆底重建术式。方法回顾性分析2006-2009年我院119例盆腔器官脱垂患者,其中79例行Gynemesh全盆底重建术,40例行ProliftTM全盆腔悬吊术,所有患者均以至少一个区域存在Ⅱ度以上脱垂为手术指征,评估两组手术患者的围手术期情况及短期疗效和并发症情况。结果两组患者在手术时间、住院天数,盆底解剖恢复情况、网片侵蚀及手术相关的出血及下尿路症状发生率方面,差异无统计学意义。结论ProliftTM系统是目前通用的用于盆底重建手术的标准化系统,采用Gynemesh网片裁剪后进行的微创全盆底重建,在短期随访中具有可重复性高、安全有效、费用低廉等优势,是一种值得进一步推广的全盆底重建术式。

关键词: 盆底重建 Gynemesh网片 Prolift

DOI：10.3969/j.issn1008-0392.2012.01.015

基金项目:

Short-term efficacy of two surgical modalities for pelvic floor reconstruction: a comparative study

SONG Li-wen¹,WU Yi¹,QIU Jin¹,WANG Ying-yi¹,TONG Xiao-wen²,CHENG Jia-jing¹

(1.Dept.of Obstetrics and Gynecology,Tenth People’s Hospital,Tongji University,Shanghai 200072,China;2.Dept.of Obstetrics and Gynecology,Tongji Hospital,Tongji University,Shanghai 200065,China)

Abstract:

Objective To compare the short-term efficacy of two surgical procedures(Gynemesh total pelvic floor reconstruction and procedure with Prolift^TM system) for transvaginal pelvic floor reconstruction in Chinese.Methods One hundred and nineteen women with pelvic organ prolapse （POP≥Ⅱat least one site） underwent pelvic floor reconstruction;79 patients received Gynemesh total pelvic floor reconstruction（group A） and 40 patients received procedure with Prolift^TM<system（group B）.The perioperative conditions,short-term anatomical outcomes and complications of two surgical modalities were compared.Results There was no difference regarding operative duration,anatomical success,mesh erosion,surgery-related ecchymosis,de novo urinary incontinence,urinary urgency and dysuresia between two groups（P＞0.05）.Conclusion Compared to standard Prolift^TM procedure, the self-developed Genemesh surgery is reproducible,minimal invasive,safe,low-cost,and effective in anatomical restoration in short-term follow-up for pelvic floor reconstruction.

Key words: pelvic floor reconstruction gynemesh prolift