背景:与传统的全子宫切除+阴道前后壁修补手术相比,应用网片材料进行盆底重建能更好修补缺陷,实现结构重建和组织替代.目的:评价生物补片材料在女性盆底器官脱垂手术中的应用情况、临床效果、并发症和不同手术方法对避免术后并发症的作用.方法:采用电子检索的方式在万方数据库中检索1999/2010有关生物补片用于盆底功能障碍性疾病手术治疗的研究,关键词为"生物补片,盆腔重建".排除重复研究、普通综述或Meta分析类文章,筛选纳入30篇文献进行评价.结果与结论:目前用于盆底重建的材料有聚丙烯网片和Prolift专用网片,植入盆底后可显著加强盆底筋膜结构,重建阴道膀胱筋膜、直肠阴道筋膜及悬吊阴道穹窿部,恢复盆底脏器的解剖结构;且手术时间短,可迅速缓解患者症状,围手术期及术后随访无严重并发症,效果良好.用于盆底重建的材料选择很多,植入方法有多种,在实际操作中,应根据患者实际情况采取相应的措施,以达到最满意的效果.%BACKGROUND: Compared with traditional total hysterectomy + anterior/posterior colporrhaphy, netting material for reconstruction of female pelvic f loor can better repair defects to realize structural remodeling and tissue s ubstrtution. OBJECTIVE: To evaluate application, clinical outcomes, complications and various operation methods of biological netting material in female pelvicfloor organ prolapse, and its effect on postoperative complication.METH ODS: We retrieved Wanfang Databas e for articles concerning biological repair plate for pelvic floor dysfunctionfrom 1B09 to 2010. The key words were " biological netting, pelvic reconstruction". Repetitive studies, common review) or Meta analysis were excluded, and 30 articles were included.RESULTS AND CONCLUSION: The mate ri als f o r pelvic reconstruction included polypropylene nefing and Prolift netting, which obviously strengthened fascia on the pelvicfloor after implantation of pelvicfloor, reconstructed vagina and bladder fascia, rectum vagina fascia and suspended fund us of vagina, as well as recovered an atomic structure of pelvicfloor organs. Moreover, the operation duration was short, and the symptom was rapidly relieved. No severe complications occurred during the operation and followup, and we obtained good outcomes. The materials for pelvic reconstruction are various, and the implantation method is also varied. During practical operation, corresponding measures should be obtained according to patients condition to reach a satisfactory effect.
展开▼
