Research on Short-time Curative Effect of Total Pelvic Floor Reconstruction for Pelvic Floor Prolapse Patients_West China Medical Journal

Authors：

SONG Liang , ZHAN Jun ,  PAN Xiaoling

Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

PAN Xiaoling, Email: song.liang@yahoo.cn

Keywords：

盆腔臟器脫垂疾病; 全盆底重建術; 網片; 近期療效

Video：

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目的　探討Prolift系統全盆底重建術在治療盆腔臟器脫垂疾病中的應用價值及療效。方法　回顧性分析四川大學華西第二醫院婦科2010年1月－2011年5月收治的119例盆腔臟器脫垂患者的臨床資料，其中47例應用Prolift系統進行全盆底重建術（A組），51例應用曼氏手術治療（B組），21例應用經陰道全子宮切除術+陰道前后壁修補術治療（C組）。分析比較各組的臨床近期療效。術后隨訪1年。結果　A、B、C組在手術時間、術中出血量、術后安置尿管天數、術后住院天數間差異均無統計學意義（P＞0.05）。A組1例、B組11例、C組4例復發，A組與B、C組復發率比較差異有統計學意義（P＜0.05）。結論　Prolift系統全盆底重建術安全性高，不增加臟器損傷的幾率，且明顯降低了患者的術后復發率，近期療效肯定，是治療盆腔臟器脫垂的一種理想術式。

Citation： SONG Liang,ZHAN Jun,PAN Xiaoling. Research on Short-time Curative Effect of Total Pelvic Floor Reconstruction for Pelvic Floor Prolapse Patients. West China Medical Journal, 2012, 27(6): 902-904. doi: Copy

1.	樂杰. 婦產科學[M]. 北京: 人民衛生出版社, 2008: 341-342.
2.	Kenton K, Mueller ER. The global burden of female Pelvic floor disorders[J]. Br J Urol, 2006, 98(Suppl 1): 1-5.
3.	朱蘭, 郎景和. 女性盆底學[M]. 北京: 人民衛生出版社, 2008: 199-201.
4.	Olsen AL, Smith VJ, Bergstrom JO, et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence[J]. Obstet Gynecol, 1997, 89(4): 501-506.
5.	Altman D, Väyrynen T, Engh ME, et al. Short-term outcome after transvaginal mesh repair of pelvic organ prolapse[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(6): 787-793.
6.	Milani AL, Withagen MI, Vierhout ME. Trocar-guided total tension-free vaginal mesh repair of post-hysterectomy vaginal vault prolapse[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2009, 20(10): 1203-1211.
7.	Jo H, Kim JW, Park NH, et al. Efficacy and outcome of anterior vaginal wall repair using polypropylene mesh (Gynemesh)[J]. J Obstet Gynaecol Res, 2007, 33(5): 700-704.
8.	van Raalte HM, Lucente VR, Molden SM, et al. One-year anatomic and quality-of-life outcomes after the Prolift procedure for treatment of posthysterectomy prolapse[J]. Am J Obstet Gynecol, 2008, 199(6): 694.e1-694.e6.
9.	王曉玉, 羅新, 帥翰林, 等. 女性盆腔器官脫垂Prolift網片盆底重建術[J]. 中國實用婦科與產科雜志, 2008, 24(12): 952-954.
10.	Fatton B, Amblard J, Debodinance P, et al. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)--a case series multicentric study[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2007, 18(7): 743-752.
11.	Amrute KV, Eisenberg ER, Rastinehad AR, et al. Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction[J]. Neurourol Urodyn, 2007, 26(1): 53-58.
12.	Pacquée S, Palit G, Jacquemyn Y. Complications and patient satisfaction after transobturator anterior and/or posterior tension-free vaginal polypropylene mesh for pelvic organ prolapse[J]. Acta obstet gynecol scand, 2008, 87(9): 972-974.
13.	Weng SS, Liu CY. Laparoscopic pelvic floor repair using polypropylene mesh[J]. Taiwan J Obstet Gynecol, 2008, 47(3): 312-317.
14.	Adhoute F, Soyeur L, Pariente JL, et al. Use of transvaginal polypropylene mesh (Gynemesh) for the treatment of pelvic floor disorders in women. Prospective study in 52 patienis[J]. Prog Urol, 2004, 14(2): 192-196.
15.	Solà Dalenz V, Pardo Schanz J, Ricci Arriola P, et al. Prolift system in the correction of female genital prolapse[J]. Actas Urol Esp, 2007, 31(8): 850-857.
16.	Chen HY, Ho M, Hung YC, et al. Analysis of risk factors associated with vaginal erosion after synthetic sling procedures for stress urinary incontinence[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(1): 117-121.
17.	Falagas ME, Velakoulis S, Iavazzo C, et al. Mesh-related infections after pelvic organ prolapse repair surgery[J]. Eur J Obstet Gynecol Reprod Biol, 2007, 134(2): 147-156.

1. 　樂杰. 婦產科學[M]. 北京: 人民衛生出版社, 2008: 341-342.
2. 　Kenton K, Mueller ER. The global burden of female Pelvic floor disorders[J]. Br J Urol, 2006, 98(Suppl 1): 1-5.
3. 　朱蘭, 郎景和. 女性盆底學[M]. 北京: 人民衛生出版社, 2008: 199-201.
4. 　Olsen AL, Smith VJ, Bergstrom JO, et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence[J]. Obstet Gynecol, 1997, 89(4): 501-506.
5. 　Altman D, Väyrynen T, Engh ME, et al. Short-term outcome after transvaginal mesh repair of pelvic organ prolapse[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(6): 787-793.
6. 　Milani AL, Withagen MI, Vierhout ME. Trocar-guided total tension-free vaginal mesh repair of post-hysterectomy vaginal vault prolapse[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2009, 20(10): 1203-1211.
7. 　Jo H, Kim JW, Park NH, et al. Efficacy and outcome of anterior vaginal wall repair using polypropylene mesh (Gynemesh)[J]. J Obstet Gynaecol Res, 2007, 33(5): 700-704.
8. 　van Raalte HM, Lucente VR, Molden SM, et al. One-year anatomic and quality-of-life outcomes after the Prolift procedure for treatment of posthysterectomy prolapse[J]. Am J Obstet Gynecol, 2008, 199(6): 694.e1-694.e6.
9. 　王曉玉, 羅新, 帥翰林, 等. 女性盆腔器官脫垂Prolift網片盆底重建術[J]. 中國實用婦科與產科雜志, 2008, 24(12): 952-954.
10. 　Fatton B, Amblard J, Debodinance P, et al. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)--a case series multicentric study[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2007, 18(7): 743-752.
11. 　Amrute KV, Eisenberg ER, Rastinehad AR, et al. Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction[J]. Neurourol Urodyn, 2007, 26(1): 53-58.
12. 　Pacquée S, Palit G, Jacquemyn Y. Complications and patient satisfaction after transobturator anterior and/or posterior tension-free vaginal polypropylene mesh for pelvic organ prolapse[J]. Acta obstet gynecol scand, 2008, 87(9): 972-974.
13. 　Weng SS, Liu CY. Laparoscopic pelvic floor repair using polypropylene mesh[J]. Taiwan J Obstet Gynecol, 2008, 47(3): 312-317.
14. 　Adhoute F, Soyeur L, Pariente JL, et al. Use of transvaginal polypropylene mesh (Gynemesh) for the treatment of pelvic floor disorders in women. Prospective study in 52 patienis[J]. Prog Urol, 2004, 14(2): 192-196.
15. 　Solà Dalenz V, Pardo Schanz J, Ricci Arriola P, et al. Prolift system in the correction of female genital prolapse[J]. Actas Urol Esp, 2007, 31(8): 850-857.
16. 　Chen HY, Ho M, Hung YC, et al. Analysis of risk factors associated with vaginal erosion after synthetic sling procedures for stress urinary incontinence[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(1): 117-121.
17. 　Falagas ME, Velakoulis S, Iavazzo C, et al. Mesh-related infections after pelvic organ prolapse repair surgery[J]. Eur J Obstet Gynecol Reprod Biol, 2007, 134(2): 147-156.

West China Medical Journal

Research on Short-time Curative Effect of Total Pelvic Floor Reconstruction for Pelvic Floor Prolapse Patients

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