聚丙烯吊带材料学特征及在张力性尿失禁中的应用

Material characteristics of polypropylene sling and its application in stress urinary incontinence

目的:评价聚丙烯吊带的材料学特征及其在张力性尿失禁中的应用,寻找合理的吊带材料及适宜的手术方式。方法:以"聚丙烯材料,聚丙烯吊带,张力性尿失禁"为中文关键词;采用计算机检索2003-02/2010-02相关文章共52篇。纳入与聚丙烯吊带材料和张力性尿失禁相关的文章;排除重复研究或Meta分析类文章。以22篇文献为主重点讨论聚丙烯吊带的材料学特征及其在张力性尿失禁中的应用。结果:吊带治疗张力性尿失禁近年来发展迅速。聚丙烯吊带材料根据来源和性能一般分为3类:无菌聚丙烯网状吊带,聚丙烯网片自制吊带,自体筋膜阴道吊带等。到目前为止,还没有发现使用聚丙烯吊带后出现侵蚀和感染等状况出现。但吊带的尺寸、编织方式、吊带纤维的表面处理、手术的方式以及吊带植入后的固定等因素对手术后质量的影响仍需研究。结论:聚丙烯吊带可作为一种较理想的支架材料应用于张力性尿失禁。

OBJECTIVE：To evaluate the material characteristics of polypropylene sling and its application in stress urinary incontinence,to find a reasonable sling material and an appropriate surgical approach.METHODS：Using＂polypropylene,polypropylene sling,stress urinary incontinence＂in Chinese as the key words,a computer search was performed for 52 relevant articles published between February 2003 and February 2010.Articles related to polypropylene sling material and stress urinary incontinence were included;repeated study or Meta analysis articles were excluded.Totally 22 literatures focused the material characteristics of polypropylene sling and its application for stress urinary incontinence.RESULTS：The treatment of stress urinary incontinence using sling has developed rapidly in recent years.Polypropylene sling materials are generally divided into three categories according to the source and properties：sterile polypropylene mesh sling,self-made polypropylene mesh sling,autologous fascia vaginal sling.So far,no erosion or infection occurs by using polypropylene sling.However,the size of sling,weaving method,sling fiber surface treatment,surgical approach and fixation after sling implantation which all influence the postoperative quality need further research.CONCLUSION：Polypropylene sling can be used as an ideal scaffold material for stress urinary incontinence.