经阴道网片置入手术的利与弊

doi:10.12280/gjfckx.20200581

摘要/Abstract

摘要：

随着社会老龄化的日益加重,盆腔器官脱垂（POP）成为中老年妇女的常见疾病。经阴道网片置入（TVM）手术作为一种微创的自然通道手术用于治疗POP,具有解剖复位、功能恢复及疗效持久的优势,近20年来被广泛应用。然而,因网片相关并发症问题其被美国食品药品监督管理局（FDA）警告2次。国际泌尿妇科协会/国际尿控学会（IUGA/ICS）对网片相关并发症的分类包括网片暴露与侵蚀、出血血肿、膀胱尿道肠管损伤、感染、慢性盆腔痛以及原发性性交困难等,其中网片暴露与侵蚀为最常见的并发症。我国经阴道网片的去留成为一个值得深思的问题。

关键词: 盆腔器官脱垂, 阴道, 复发, 手术后并发症, 网片

Abstract:

With the increasing aging of the society, pelvic organ prolapse (POP) has become a common disease of elderly women.Transvaginal mesh (TVM) surgery, as a kind of minimally invasive surgery through natural channel for the treatment of POP, with the advantages of anatomical reduction, functional recovery and long-term curative effect, is widely used in recent 20 years. However, it has been warned twice by the US Food and Drug Administration (FDA) for mesh-related complications. The International Urogynecological Association/International Continence Society (IUGA/ICS) classification of mesh-related complications includes:exposure and erosion, hematoma, bladder, urethral and bowel injury, infection, chronic pelvic pain, and de novo dyspareunia. Mesh exposure and erosion are most common complications. It is worth thinking about whether transvaginal mesh should be used or not in China.

Key words: Pelvic organ prolapse, Vagina, Recurrence, Postoperative complications, Mesh

向雪冰, 胡清, 夏志军. 经阴道网片置入手术的利与弊[J]. 国际妇产科学杂志, 2021, 48(2): 219-223.

XIANG Xue-bing, HU Qing, XIA Zhi-jun. Advantages and Complications of Transvaginal Mesh Surgery[J]. Journal of International Obstetrics and Gynecology, 2021, 48(2): 219-223.

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