• 四川大學(xué)華西第二醫(yī)院婦產(chǎn)科（成都，610041）;

目的 　探討Prolift系統(tǒng)全盆底重建術(shù)在治療盆腔臟器脫垂疾病中的應(yīng)用價(jià)值及療效。 方法　 回顧性分析四川大學(xué)華西第二醫(yī)院婦科2010年1月－2011年5月收治的119例盆腔臟器脫垂患者的臨床資料，其中47例應(yīng)用Prolift系統(tǒng)進(jìn)行全盆底重建術(shù)（A組），51例應(yīng)用曼氏手術(shù)治療（B組），21例應(yīng)用經(jīng)陰道全子宮切除術(shù)+陰道前后壁修補(bǔ)術(shù)治療（C組）。分析比較各組的臨床近期療效。術(shù)后隨訪1年。 結(jié)果 　A、B、C組在手術(shù)時(shí)間、術(shù)中出血量、術(shù)后安置尿管天數(shù)、術(shù)后住院天數(shù)間差異均無(wú)統(tǒng)計(jì)學(xué)意義（P＞0.05）。A組1例、B組11例、C組4例復(fù)發(fā)，A組與B、C組復(fù)發(fā)率比較差異有統(tǒng)計(jì)學(xué)意義（P＜0.05）。 結(jié)論　Prolift系統(tǒng)全盆底重建術(shù)安全性高，不增加臟器損傷的幾率，且明顯降低了患者的術(shù)后復(fù)發(fā)率，近期療效肯定，是治療盆腔臟器脫垂的一種理想術(shù)式。

引用本文： 宋亮,戰(zhàn)軍,潘小玲. Prolift系統(tǒng)全盆底重建術(shù)近期療效研究. 華西醫(yī)學(xué), 2012, 27(6): 902-904. doi: 復(fù)制

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  1. 1. 　樂(lè)杰. 婦產(chǎn)科學(xué)[M]. 北京: 人民衛(wèi)生出版社, 2008: 341-342.
  2. 2. 　Kenton K, Mueller ER. The global burden of female Pelvic floor disorders[J]. Br J Urol, 2006, 98(Suppl 1): 1-5.
  3. 3. 　朱蘭, 郎景和. 女性盆底學(xué)[M]. 北京: 人民衛(wèi)生出版社, 2008: 199-201.
  4. 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. 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. 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. 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. 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. 9. 　王曉玉, 羅新, 帥翰林, 等. 女性盆腔器官脫垂Prolift網(wǎng)片盆底重建術(shù)[J]. 中國(guó)實(shí)用婦科與產(chǎn)科雜志, 2008, 24(12): 952-954.
  10. 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. 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. 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. 13. 　Weng SS, Liu CY. Laparoscopic pelvic floor repair using polypropylene mesh[J]. Taiwan J Obstet Gynecol, 2008, 47(3): 312-317.
  14. 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. 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. 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. 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.