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目的探讨补片在女性盆底重建手术中应用的可行性和有效性。方法对本院2006年1月1日至2007年6月30日24例不同程度盆底功能障碍性疾病患者应用补片进行盆底修补和重建。结果24例患者手术时间平均为109min(80～135min),其中放置补片的时间平均为18min。术中出血量平均200ml(150～400ml)。术后发现2例补片侵蚀阴道黏膜,发生率8.33%,均为后壁补片。患者均无补片感染的情况发生。3例出现盆腔脏器脱垂复发,复发率12.5%。结论补片在女性盆底重建手术中,方法简单,操作容易,并发症少,术后复发率低,在临床上取得满意效果,值得推广。
Objective To investigate the feasibility and effectiveness of patch in pelvic floor reconstruction. Methods From January 1, 2006 to June 30, 2007, 24 patients with pelvic floor dysfunction were treated with patch for pelvic floor repair and reconstruction. Results The average operation time of 24 patients was 109 min (80 ~ 135 min), and the average time for patch placement was 18 min. Intraoperative bleeding average 200ml (150 ~ 400ml). Two cases of postoperative patchy erosion of the vaginal mucosa, the incidence of 8.33%, are the posterior wall patch. None of the patients had patch infection. Pelvic organ prolapse recurrence occurred in 3 cases, the recurrence rate was 12.5%. Conclusion The patch in pelvic floor reconstruction surgery in women, the method is simple, easy to operate, fewer complications, low recurrence rate, clinically satisfactory results, it is worth promoting.