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Perigee系统治疗前盆腔脏器脱垂的近期疗效分析 被引量：2

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摘要 目的:评价Perigee系统治疗女性前盆腔器官脱垂的安全性及临床疗效。方法 :对24例盆腔器官脱垂定量系统(pelvic organ prolapse-quantitation,POP-Q)诊断为Ⅱ度或以上的前盆腔器官脱垂患者行Perigee前盆底重建术,采用主观评价[盆底功能障碍影响问卷简版(PFIQ-7)、性生活质量问卷]和客观评价(POP-Q)对围手术期及术后近期各项指标的变化及并发症发生情况进行分析。结果:24例患者的平均手术时间(70.83±15.30)min,术中平均出血(80.92±40.39)ml,术后中位随访时间为4个月。以POP-Q评分作为客观疗效评价指标,治愈率为100%;PFIQ-7评分较术前有显著改善;术后1例有性生活,性生活质量无明显下降。术后发生网片暴露1例(4.2%);新发压力性尿失禁2例(8.4%);会阴部、臀部疼痛4例(16.7%);新发阴道后壁脱垂3例(12.6%);无严重并发症发生。结论:Perigee系统是治疗前盆腔脏器脱垂的安全、微创术式,近期疗效肯定,中远期疗效待进一步随访。
作者 龚健 潘雯 王家俊 陈艳琴
机构地区 南京医科大学附属无锡市妇幼保健院妇泌科
出处 《南京医科大学学报（自然科学版）》 CAS CSCD 北大核心 2013年第5期662-664,共3页 Journal of Nanjing Medical University(Natural Sciences)
关键词 盆腔器官脱垂 PERIGEE 近期疗效
分类号 R711.2 [医药卫生—妇产科学]
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参考文献7

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二级参考文献12

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共引文献84

同被引文献14

  • 1Maher CM,Feiner B,Baessler K,et al.Surgical management of pelvic organ prolapse in women:the updated summary version Cochrane review[J].Int Urogynecol J,2011,22(11):1445-1457.
  • 2Iglesia CB.Synthetic vaginal mesh for pelvic organ prolapse[J].Curr Opin Obstet Gynecol,2011,23(5):362-365.
  • 3Grgic O,Oreskovic S,Grsic HL,et al.Outcome and efficacy of a transobturator polypropylene mesh kit in the treatment of anterior pelvic organ prolapse[J].Int J Gynaecol Obstet,2012,116(1):72-75.
  • 4Altman D,Vyrynen T,Engh ME,et al.Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse[J].N Engl J Med,2011,364(19):1826-1836.
  • 5Moore RD, Beyer RD, Jacoby K, et al. Prospective multi- center trial assessing type I, polypropylene mesh placed via transobturator route for the treatment of anterior vaginal pro- lapse with 2-year follow-up [J]. Int Urogynecol J, 2010, 21 (5) : 545-552.
  • 6Iglesia CB. Synthetic vaginal mesh for pelvic organ prolapse [J] Curr Opin Urol, 2011, 23 (5) : 362-365.
  • 7Grgic O, Oreskovic S, Grsic HL, et al. Outcome and efficacy of a transobturator polypropylene mesh kit in the treatment of anterior pelvic organ prolapse [ J] Int J Gynaecol Obstet, 2012, 116 (1): 72-75.
  • 8Rane A, Kannan K, Barry C, et al. Prospective study of the Perigee system for the management of cystocoeles- medium- term follow up [J]. Aust N Z J Obstet Gynaecol, 2008, 48 (4) : 427-432.
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  • 10Rudnicki M, Laurikainen E, Pogosean R, et al. Anterior col- porrhaphy compared with collagen-coated transvaginal mesh for anterior vaginal wall prolapse: a randomised controlled trial [J]. BJOG, 2014, 121 (1): 102-110.

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南京医科大学学报（自然科学版）
2013年 第5期

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