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：

盆腔脏器脱垂疾病; 全盆底重建术; 网片; 近期疗效

Video：

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目的　探讨Prolift系统全盆底重建术在治疗盆腔脏器脱垂疾病中的应用价值及疗效。方法　回顾性分析四川大学华西第二医院妇科2010年1月－2011年5月收治的119例盆腔脏器脱垂患者的临床资料，其中47例应用Prolift系统进行全盆底重建术（A组），51例应用曼氏手术治疗（B组），21例应用经阴道全子宫切除术+阴道前后壁修补术治疗（C组）。分析比较各组的临床近期疗效。术后随访1年。结果　A、B、C组在手术时间、术中出血量、术后安置尿管天数、术后住院天数间差异均无统计学意义（P＞0.05）。A组1例、B组11例、C组4例复发，A组与B、C组复发率比较差异有统计学意义（P＜0.05）。结论　Prolift系统全盆底重建术安全性高，不增加脏器损伤的几率，且明显降低了患者的术后复发率，近期疗效肯定，是治疗盆腔脏器脱垂的一种理想术式。

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.	乐杰. 妇产科学[M]. 北京: 人民卫生出版社, 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.	朱兰, 郎景和. 女性盆底学[M]. 北京: 人民卫生出版社, 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.	王晓玉, 罗新, 帅翰林, 等. 女性盆腔器官脱垂Prolift网片盆底重建术[J]. 中国实用妇科与产科杂志, 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. 　乐杰. 妇产科学[M]. 北京: 人民卫生出版社, 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. 　朱兰, 郎景和. 女性盆底学[M]. 北京: 人民卫生出版社, 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. 　王晓玉, 罗新, 帅翰林, 等. 女性盆腔器官脱垂Prolift网片盆底重建术[J]. 中国实用妇科与产科杂志, 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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