盆底重建术后失败及复发的认识和处理
华克勤;陈义松;丁景新
【期刊名称】《中国实用妇科与产科杂志》 【年(卷),期】2011(027)001
【摘要】There is certain failure and relapse rate after the reconstruction of pelvic floor. How to recognize and cope with these problems is in the interest of the pelvic reconstruction surgeon. This article introduces the definition of failure and relapse after the surgery dealing with pelvic organ prolapse and stress urinary incontinence, the reason and high risk factors for failure and relapse, and how to prevent and deal with relapse. The relapse rate after pelvic reconstruction is closely associated with the procedure chosen, the skill of the surgeon and the option of the mesh material. There are various methods to deal with relapse, including surgeries like vaginal sacrum fixation and sacrospinous ligament fixation and as well as the use of pessary ring. If mesh expulsion occurs, the exposed mesh needed to be trimmed, and in some severe ease, regeneration material like SIS graft is used to repair the defect of the vaginal mucosa. The failure or relapse following initial stress incontinence traditional surgery or sling surgery can both be treated with tension- free mid urethral slings.%盆腔器官脱垂患者术后复发率与手术方式、手术操作技巧及网片材料的选择密切相关.盆腔器官脱垂术后复发的处理方法多种,可采用阴道骶骨固定术、骶棘韧带固定等手术治疗或使用子宫托治
盆底重建术后失败及复发的认识和处理
