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目的探讨两种补片在全盆底重建的可行性、有效性、安全性。方法采用Gynemesh聚丙烯补片行全盆底重建术39例,采用Prolift全盆底修复系统行全盆底重建术17例,对合并有压力性尿失禁的患者同时进行经闭孔尿道中段无张力悬吊术(TVT-O)27例。结果 Gynemesh组39例患者13例行全盆底重建同时切除子宫,其余患者保留子宫3,例发生网片暴露2,例术后发热,均发生在保留子宫的患者中;Prolift组17例同时行子宫切除2例,无网片暴露发生,术后无发热1,例患者术后2个月时出现排便困难,经过对症后好转,其他患者术前不适症状消失;27例同时行经闭孔尿道中段无张力悬吊术(TVT-O),预后良好,术前不适症状消失,生活质量明显提高。结论两种补片用于治疗盆腔脏器脱垂效果良好。
Objective To explore the feasibility, effectiveness and safety of two kinds of patch reconstruction in the whole pelvic floor. Methods 39 cases of pelvic floor reconstruction were performed with Gynemesh polypropylene patch. Seventeen cases of pelvic floor reconstruction were performed with Prolift pelvic floor repair system. The patients with stress urinary incontinence were treated with tension-free Suspension (TVT-O) in 27 cases. Results Thirty-nine patients in Gynemesh group underwent pelvic floor reconstruction with resection of the uterus. The rest of the patients retained the uterus (3), the mesh exposures (2), and the postoperative fever occurred in all patients with uterine retention. The Prolift group Hysterectomy in 2 cases, no mesh exposure, no postoperative fever 1, patients with bowel difficulties at 2 months after surgery, after symptomatic improvement, other patients preoperative discomfort disappeared; 27 cases at the same time through the middle of the closed-cell urethra Tension-free surgery (TVT-O), a good prognosis, preoperative discomfort disappeared, quality of life improved significantly. Conclusion The two kinds of patch for the treatment of pelvic organ prolapse good effect.