中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (16): 2990-2992.doi: 10.3969/j.issn.1673-8225.2011.16.033

• 生物材料学术探讨 biomaterial academic discussion • 上一篇    下一篇

人工合成材料重建盆底的并发症及预防

陈晓莉   

  1. 张家口市第五医院，河北省张家口市   075000
  • 收稿日期:2011-02-09 修回日期:2011-03-08 出版日期:2011-04-16 发布日期:2011-04-16
  • 作者简介:陈晓莉，女，1974年生，北京市延庆县人，汉族，1996年河北北方学院毕业，主治医师，主要从事妇科临床研究。 chenxiaolibc@163.com

Complications occurrence and prevention following pelvic reconstruction with synthetic materials

Chen Xiao-li   

  1. Fifth Hospital of Zhangjiakou, Zhangjiakou  075000, Hebei Province, China
  • Received:2011-02-09 Revised:2011-03-08 Online:2011-04-16 Published:2011-04-16
  • About author:Chen Xiao-li, Attending physician, Fifth Hospital of Zhangjiakou, Zhangjiakou 075000, Hebei Province, China chenxiaolibc@163.com

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被引次数

1

摘要：

目的：总结盆底重建应用人工合成材料出现的并发症及其预防措施。
方法：以 “组织工程，盆底重建，人工合成材料，并发症，预防措施”为关键词；采用计算机检索2006-01/2010-12相关文章。纳入与有关盆底重建应用人工合成材料的文章；排除重复研究或Meta分析类文章。以12篇文献为主重点进行了讨论盆底重建应用人工合成材料后常见的并发症及其预防措施。
结果：盆腔重建合成材料在不同地区应用过程中不同程度的出现了阴道异物感，阴道感染、侵蚀等并发症。合成材料所致阴道侵蚀的发病机制尚未完全明了，多数学者认为可能与感染，放置合成材料时张力过大，影响阴道及尿道周围血液循环，合成材料的类型等因素有关。将补片置于无张力状态下可以降低阴道侵蚀的发生率。
结论：严格的术前准备、精细的术中操作、严密的术后处理和随访，有助于预防和减少合成材料相关阴道侵蚀的发生。

关键词: 盆底重建, 人工合成材料, 并发症, 阴道侵蚀, 预防措施

Abstract:

OBJECTIVE: To summarize the complications and their prevention following pelvic reconstruction with synthetic materials.
METHODS: A computer-based search for synthetic materials used in pelvic reconstruction published from January 2006 to December 2010 was performed using key words of “tissue engineering, pelvic reconstruction, synthetic materials, complication, prevention”. Repetitive articles or Meta-analysis were excluded. Totally 12 articles were included.
RESULTS: Synthetic materials for pelvic reconstruction lead to several complications to different extent, such as vaginal foreign body sensation, vaginal infection, erosion. The pathogenesis of vaginal erosion due to synthetic materials is still unclear. Most scholars believe that it may be related to infection, large tension to place synthetic materials, impact on vaginal and urethral blood circulation and type of synthetic materials. The mesh transplanted under a tension-free state can reduce the incidence of vaginal erosion.
CONCLUSION: Rigorous preoperative preparation, careful operation and refined postoperative treatment and follow-up can help to prevent and reduce the incidence of vaginal erosion due to synthetic materials.

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