Avaulta前盆腔悬吊术治疗前盆腔脏器脱垂的近期疗效分析.docVIP

Avaulta前盆腔悬吊术治疗前盆腔脏器脱垂的近期疗效分析 　　【摘要】 目的 分析采用Avaulta soloTM盆底修补系统前路网片进行前盆腔悬吊术治疗阴道前壁膨出的初步结果， 讨论该方法的短期疗效及安全性。方法 回顾性分析23例阴道前壁膨出合并子宫脱垂患者采用Avaulta soloTM盆底修补系统前路网片行前盆腔悬吊术术中情况和短期临床疗效及术后的复发情况、并发症。结果 23例合并有子宫脱垂的前盆腔缺陷患者行Avaulta前盆腔悬吊术治疗过程顺利， 短期未发现复发， 但术后有并发症出现。结论 Avaulta前盆腔悬吊术可以有效地治疗前盆腔缺陷的患者， 其短期复发率低， 存在并发症， 但严重并发症少， 其远期疗效及安全性仍需长期随访结果。 　　【关键词】 前盆腔缺陷；Avaulta前盆腔悬吊术；治疗 　　DOI：10.14163/j.cnki.11-5547/r.2016.09.008 　　Analysis of short-term curative effect by Avaulta anterior pelvic suspension in the treamtnet of anterior pelvic organ prolapse CHEN Tian-quan. Department of Obstetrics and Gynecology， Jiangsu Yangzhou City First People’s Hosptial， Yangzhou 225000， China 　　【Abstract】 Objective To analyze short-term outcome of Avaulta soloTM pelvic floor repair system mesh for anterior pelvic floor reconstruction in the treatment of anterior vaginal prolapse， and to investigate short-term curative effect and safety of this method. Methods A retrospective analysis was made on operation condition， short-term curative effect， postoperative recurrence and complications in 23 cases with anterior vaginal prolapsed treated by Avaulta soloTM pelvic floor repair system mesh for anterior pelvic floor reconstruction. Results All the 23 cases received successful Avaulta anterior pelvic suspension for their anterior compartment deficiency complicated with uterine prolapse， with postoperative complications. There was no short-term recurrent case. Conclusion Avaulta anterior pelvic suspension can provide effective treatment for anterior compartment deficiency patients， along with low short-term recurrence rate and few severe complications. Its long-term curative effect and safety are still in need of further follow-up. 　　【Key words】 Anterior compartment deficiency； Avaulta anterior pelvic suspension； Treatment 　　盆腔器官脱垂（pelvic organ prolapse， POP）是指盆腔器官和与其相邻的阴道壁突入阴道或自阴道脱出， 是老年女性常见病， 发病率约为40%[1]。传统的POP手术包括经阴道子宫切除术、阴道封闭术以及阴道修补手术等， 但传统手术存在一些问题， 其中最突出的是复发率高。近年来， 对盆底解剖结构的研究逐渐深入， 也提出了一些新的理念和新材料的使用，