Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (30): 4503-4508.doi: 10.3969/j.issn.2095-4344.2016.30.014
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Zhang Yu-di, Lu Dan, Zheng Ping, Wu Xia, Li Hui, Liu Ju-hong
Received:
2016-05-08
Online:
2016-07-15
Published:
2016-07-15
Contact:
Lu Dan, Chief physician, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China
About author:
Zhang Yu-di, Master, Associate chief physician, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China
CLC Number:
Zhang Yu-di, Lu Dan, Zheng Ping, Wu Xia, Li Hui, Liu Ju-hong. Use of the Y-shaped mesh in functional repair of the pelvic floor in women[J]. Chinese Journal of Tissue Engineering Research, 2016, 20(30): 4503-4508.
2.1 参与者数量分析 10例患者均顺利完成至少半年以上随访,进入结果分析。 2.2 围手术期指标 所有手术均顺利完成,术后愈合良好,无盆腔感染、神经损伤及术后并发症发生,手术时间120-220 min,平均(176.00±32.04) min;术中出血量为20-200 mL,平均(61.00±62.08) mL;住院 6-14 d,平均(9.5±2.8) d;尿管留置时间为1-3 d,平均(1.5±0.6) d;修复后的疼痛评分明显低于修复前(3.5± 0.8,2.4±1.8,P < 0.05)。 2.3 修复前后POP-Q值 与修复前相比,修复后1,3,6个月Aa、Ba及C值均显著改善(P < 0.05),上述各指标修复后不同时间点比较差异无显著性意义(P > 0.05),见表1。从体检的重要的标志点POP-Q值可见,手术有效改善患者的盆底功能,说明采用生物网片修复具有良好的解剖重建效果。"
2.4 修复前后PFIQ-7量表数据 修复前分值为(104.3±9.8) 分,修复后1,3,6个月分别为(14.8±3.9),(15.2±3.5),(15.1±4.8)分。与修复前相比,修复后不同时间点时间点PFIQ-7量表分值显著改善(P < 0.05),其趋势图详见图3。可见经过治疗,患者的生活质量明显改善并能有效保持。 2.5 不良反应 所有患者均完成半年以上随访,恢复至正常性生活,未有不适主诉。在随访期内有1例术后1个月阴道残端感染,经过阴道上药后好转,术后3个月复查无不适主述,阴道残端愈合好。在随访期内无网片侵蚀、等材料相关并发症发生,阴道弹性好,柔软度好,性生活满意,总体治疗满意。"
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