合成材料盆底修补术后阴道溃疡(附8例报告)

Vaginal erosion after pelvic floor surgery with synthetic materials(report of 8 cases)

目的:探讨合成材料盆底修补术后阴道溃疡患者的临床特点、诊断、治疗及其预后。方法:回顾性分析南京军区福州总医院1999年1月～2006年12月收治的247例盆底修补术后出现阴道溃疡的8例患者的临床资料。结果:其中7例阴道溃疡位于阴道前壁正中,1例位于阴道左后壁;TVT术后阴道溃疡2例,TOT术后2例,IVS术后3例;术后病理提示慢性炎症7例,单纯增生1例;8例均行阴道溃疡修补术痊愈(4例先行期待疗法,2例先行局部药疗)。结论:合成材料盆底修补术后阴道溃疡发病率为3.2%。合成材料盆底修补术后出现阴道溃疡宜及早行阴道溃疡修补术治疗。

Objective:To investigate the clinical characteristics and treatment of Vaginal erosion after pelvic floor surgery with synthetic materials.Method:Clinical data of 8 cases of vaginal erosion after 247 cases of pelvic floor surgery with synthetic materials,were collected and analyzed retrospectively in Fuzhou General Hospital from January 1999 to December 2006.Results: Among the 8 cases,7 cases were located in the middle of the anterior vagina wall,and only 1 case was lovated in the posterior vaginal wall.2 cases ocurred after TVT(tension-free vaginal tape) sling surgery,2 cases after TOT(transobturator tape) sling surgery and 3 cases after IVS(Iaginal Slingplasty) surgery.Pathological examination revealed that 7 caes were chronic inflammation and 1 case was simple hyperplasia.All the 8 cases recovered after repatir surggery of Vaginal erosion.Conclusion:The incidence of Vaginal erosion after pelvic floor surgery with synthetic materials is 3.2%,Our studyresults suggest that Vaginal erosion after pelvic floor surgery with synthetic materials should be operated as early as possible after diagnosis.