补片在女性骨盆重建外科中的应用
担心出现与盆底障碍治疗相关的经阴道植入网片并发症？以下是一些注意事项。
来自妙佑医疗国际员工
如果您患有骨盆底疾病，您可能听说过涉及网状物的治疗方法。然而，关于并发症的报道可能会让您感到困惑或犹豫不决，不敢去治疗。了解网状物使用方法以及可能出现的并发症。
什么是外科网片？
外科网片是一种医疗产品，用于在修复虚弱或受损组织时提供额外的支持。大多数外科网片是由合成材料或动物组织制成的。
如何使用外科网片治疗盆底障碍？
外科网片可用于治疗：
- 盆腔器官脱垂（POP）。当支撑盆腔器官的肌肉和韧带力量减弱时，盆腔器官可能会脱落，并在阴道内隆起（盆腔器官脱垂）。为了治疗 POP，可以植入外科网片来加固脆弱的阴道壁。我们可以经腹部使用网片或经阴道不使用网片完成外科手术。使用网片进行阴道外科手术已不再是一种选择。
- 压力性尿失禁（SUI）。压力性尿失禁指的是由于咳嗽、打喷嚏、跑步或举重等会对膀胱施加压力的身体动作或活动引起的尿液不自主排出。可以经阴道植入外科网片尿道吊带，以支撑膀胱颈或者身体中输送尿液的管道（尿道）。这项医疗程序称为尿道中段吊带术或网片吊带术。
July 03, 2022
- Maher C, et al. Transvaginal mesh or grafts compared with native tissue repair for vaginal prolapse. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD012079/full. Accessed May 22, 2017.
- Trabuco EC, et al. Overview of transvaginal placement of mesh for prolapse and stress urinary incontinence. http://www.uptodate.com/home. Accessed May 22, 2017.
- Obstetrical and gynecological devices: Reclassification of surgical mesh for transvaginal pelvic organ prolapse repair. Office of the Federal Register. https://www.federalregister.gov/documents/2016/01/05/2015-33165/obstetrical-and-gynecological-devices-reclassification-of-surgical-mesh-for-transvaginal-pelvic. Accessed May 22, 2017.
- Caveney M, et al. Short-term complications associated with the use of transvaginal mesh in pelvic floor reconstructive surgery: Results from a multi-institutional prospectively maintained dataset. Neurourology and Urodynamics. 2017;9999:1.
- ACOG practice advisory on the FDA's reclassification of mesh for pelvic organ prolapse. The American College of Obstetricians and Gynecologists. http://www.acog.org/About-ACOG/News-Room/Practice-Advisories/ACOG-Practice-Advisory-on-the-FDAs-Reclassification-of-Mesh-for-Pelvic-Organ-Prolapse. Accessed May 22, 2017.
- Surgery for stress urinary incontinence. The American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Surgery-for-Stress-Urinary-Incontinence. Accessed May 22, 2017.
- FDA takes action to protect women's health, orders manufacturers of surgical mesh intended for transvaginal repair of pelvic organ prolapse to stop selling all devices. U.S. Food and Drug Administration. https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm636114.htm?utm_campaign=2019-04-16%20FDA%20orders%20manufacturers%20of%20surgical%20mesh%20intended%20for%20transvaginal%20repair&utm_medium=email&utm_source=Eloqua. Accessed April 16, 2019.