阴道脱垂修复不起治愈率

(HealthDay) -根据9月6日在线发表的一项研究，在接受补片或没有补片的妇女进行阴道脱垂修复的三年随访后，治愈率没有差异妇产科。

Robert E. Gutman, M.D., from Georgetown University in Washington, D.C., and colleagues evaluated anatomic, symptomatic, and combined cure rates for 65 women randomized to traditional vaginal prolapse surgery without mesh and vaginal colpopexy repair with mesh (33 mesh and 32 no mesh). Participants were included if they had three-year validated quality-of-life questionnaires and two- or three-year postoperative blinded Pelvic Organ Prolapse Quantification examination. Those requiring reoperation for recurrent prolapse were not included in anatomic and subjective outcomes analysis.

研究人员过早地停止了这项研究，因为15.6%的mesh暴露率。随访3年，3例死亡，3例复发脱垂需再手术(均为补片组)，8例失访。三年内各组间脱垂阶段或个别脱垂点均无差异。从基线到3年，每组都经历了显著的阶段改善(补片和不补片分别为90%和86%)。两组之间症状改善的得分没有差异。使用各种不同的定义，治愈率，同样，组之间没有差异。前腔室的解剖治愈率最低。

“与接受传统治疗的患者相比，三年内的治愈率没有差异阴道脱垂无补片的阴道阴道修补术网作者写道。

若干作者披露了医疗器械行业的财务关系。

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