经腹阴道骶骨后壁固定术网片腐蚀的发生率和处理

作     者：Begley J.S Kupferman S.P Kuznetsov D.D H.G. Muntz 张丽娟 

作者机构：Virginia Mason Medical Center Mailstop X8- GYN 1100 Ninth Ave Seattle WA 98111 United States.Dr 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2005年第1卷第10期

页      码：11-11页

摘      要：Objective: This study was undertaken to evaluate the occurrence and management of mesh erosions in patients undergoing abdominal sacrocolpopexy. Study design: A retrospective chart review of the abdominal sacrocolpopexy procedure (n = 92)between 1997 and 2003 was performed. Patients with mesh erosion were identified. Incidence by graft type and treatment required for erosion resolution was analyzed with χ 2 and Fisher exact test. Results: Erosions occurred in 7.6 % (7/92). Erosions were identified only in patients with Gore-Tex (3/33, 9% ) or silicone-coated mesh (4/21, 19% ) compared with none of 38 patients with polypropylene mesh (n = 24) or fascia (n = 14) grafts (P =. 068.). Partial excision of exposed graft resolved all 3 Gore-Tex erosions, compared with none of the siliconecoated mesh erosions (P =. 03). Complete graft removal was required to resolve silicone-coated mesh erosions. Conclusion: We observed a high rate of erosion with Gore-Tex and siliconecoated mesh. Partial graft excision was adequate for Gore-Tex erosions, but complete graft removal was necessary to resolve erosions associated with silicone-coated mesh.

主 题 词：骶骨后壁 移植片 精确检验 图表分析 胶膜 受经 切除术 研究设计 腐蚀率 

学科分类：1002[医学-临床医学类] 100211[100211] 10[医学] 

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