PROSIMA补片治疗盆腔器官脱垂的近期疗效和并发症分析

• 作 者: 潘雯 龚健 王家俊 陈艳琴
• 机 构: 南京医科大学附属无锡市妇幼保健院妇科,
• 出 处: 江苏医药
• 发表日期: 2013年12期
• 关键词: Pelvic organ prolapse PROSIMA tension-free mesh

目的探讨PROSIMA无张力补片进行盆底重建术治疗女性盆腔器官脱垂(POP)的近期疗效和并发症。方法Ⅱ-Ⅲ期POP患者70例,采用PROSIMA无张力补片实施盆底重建术,并采用POP-Q评价系统及盆底功能障碍影响问卷简版(PFIQ-7)评价手术疗效及手术并发症。结果术后残余尿量(18.01±27.91)ml。随访结果:16例(22.9%)术后3-4周取阴道支撑装置时阴道分泌物细菌培养阳性;1例(1.4%)术后6个月阴道前壁脱垂复发;1例(1.4%)术后12个月穹窿脱垂;8例(11.4%)发生补片暴露;PFIQ-7评分较术前明显改善(P<0.05)。结论 PROSIMA盆底重建术创伤小、手术失血少、无术后疼痛,近期疗效满意。

Objective To investigate the short-term efficacy and complications of pelvic floor reconstruction with PROSIMA tension-free patch in the treatment of female pelvic organ prolapse (POP). Methods Seventy patients with stage Ⅱ-Ⅲ POP were treated with PROSIMA tension-free patch. Pelvic floor reconstruction was performed using the POP-Q evaluation system and the pelvic floor dysfunction questionnaire (PFIQ-7) to evaluate the surgical efficacy and surgical complications . Results Postoperative residual urine volume (18.01 ± 27.91) ml. The follow-up results: The bacterial culture of vaginal secretions was positive in 16 cases (22.9%) with vaginal support device 3-4 weeks after operation. One case (1.4% ) Vault prolapse 12 months after operation; patch exposure occurred in 8 cases (11.4%); PFIQ-7 score was significantly improved compared with that before operation (P <0.05). Conclusions The PROSIMA pelvic floor reconstruction has less trauma, less blood loss and no postoperative pain, and the short-term curative effect is satisfactory.