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生物补片在盆底重建手术中的应用 被引量：6

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摘要 女性盆底功能障碍性疾病（pelvic floor dysfuntion,PFD）主要包括盆底器官脱垂（pelvic organ prolapse,POP）和压力性尿失禁（stress urinary incontinence,SUI）,是中老年女性的常见病、多发病,严重影响着中老年女性的生活质量.1%的患者需要通过手术来纠正POP和SUI,其中29%患者需要再次手术[1].传统的盆底重建手术采用自身薄弱的组织和韧带进行加固,常导致POP和SUI复发.为提高治疗效果,人工合成网片和生物补片广泛用于修复重建盆底组织.随着盆底整体理论、吊床学说及女性盆底支持结构3个水平理论的确立,手术器械的改进以及植入材料的发明应用,盆底重建手术的目标不仅是修复受损的组织,而是在修复的基础上通过提供各种形式的支持物使组织替代和再生.人工合成的不可吸收补片材料坚固,应用方便,但可能发生感染、排斥和侵蚀等并发症,生物相容性较差,导致更复杂的外科问题,需要更高的治疗费用.
作者 范雪梅 徐惠成
机构地区 第三军医大学西南医院妇产科
出处 《中国微创外科杂志》 CSCD 2013年第12期1147-1150,共4页 Chinese Journal of Minimally Invasive Surgery
关键词 盆底重建手术 生物补片 手术中 应用 盆底功能障碍性疾病 人工合成网片 中老年女性 盆底组织
分类号 R713 [医药卫生—妇产科学]
  • 相关文献

参考文献36

  • 1Olsen AL, Smith V J, Bergstrom JO, et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol, 1997, 9 ( 4 ) : 501 - 506.
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二级参考文献38

  • 1郎景和.妇科泌尿学与盆底重建外科:过去、现在与将来(之二)[J].中华妇产科杂志,2005,40(3):145-147. 被引量：164
  • 2张晨,王志军,高景恒.脱细胞组织基质的研究进展[J].大连大学学报,2007,28(3):57-60. 被引量：7
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共引文献25

同被引文献94

  • 1张晓红,王建六,金玲,王世军,魏丽惠.补片在女性盆底重建手术的应用-18例临床分析[J].中国妇产科临床杂志,2006,7(1):9-12. 被引量：56
  • 2郎景和.妇科泌尿学与盆底重建外科发展[J].中国微创外科杂志,2006,6(4):245-247. 被引量：37
  • 3蔡丽萍,易为民,朱虹,涂春华.补片在女性盆底功能障碍性疾病中的应用[J].实用临床医学（江西）,2006,7(9):100-103. 被引量：15
  • 4Ellington DR, Richter HE.indications, contraindications, and complications of mesh in surgical treatment of pelvic organ prolapse.Clin Obstet Gynecol. 2013; 56(2):276-288.
  • 5Mourtzinos'A,Maher MG, Raz S,et aI.Spiral sling salvage anti-incontinence surgery for women with refractory stress urinary incontinence: surgical outcome and satisfaction determined by patient-driven questionnaires.Urology. 2008 72(5): 1044-1048.
  • 6Peacock O, Simpson JA, Tou SI,et aI.Outcomes after biological mesh reconstruction of the pelvic floor following extra-levator abdominoperineal excision of rectum (APER) Tech Coloproctol. 2014;18(6):571-577.
  • 7Ashok K, Petri E.Failures and complications in pelvic floor surgery.World J Urol. 2012;30(4):487-94.
  • 8Gold KP, Ward RM, Zimmerman CW, et al.Factors associated with exposure of transvaginally placed polypropylene mesh for pelvic organ prolapse.lnt Urogynecol J. 2012;23(10): 1461-1466.
  • 9Haylen BT, Freeman RM, Lee J, et al.An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related to native tissue female pelvic floor surgery.lnt Urogynecol J. 2012;23(5):515-526.
  • 10Elmer C, Falconer C, Hallin A, et al.Risk factors for mesh complications after trocar guided transvaginal mesh kit repair of anterior vaginal wall prolapse.Neurourol Urodyn. 2012; 31(7): 1165-1169.

引证文献6

二级引证文献14

中国微创外科杂志
2013年 第12期

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