摘要： 目的 探讨经阴道网片置入术后网片暴露的相关因素。方法 选择2016年1月至2017年12月期间于中国医科大学附属盛京医院妇科盆底病房行经阴道置入网片手术患者共300例，根据术后网片暴露情况分为暴露组及非暴露组，比较2组的糖尿病史、术中出血量、是否保留子宫、体质量、年龄等，定量资料比较采用t检验或Mann-Whitney U检验，定性资料比较采用χ²检验，探讨网片暴露的危险因素。结果 成功随访279例，其中，术后≥6个月时发现网片暴露者36例（12.90%）；已绝经者270例，暴露34例，未绝经9例，暴露2例。糖尿病史、术中出血量、年龄与网片暴露有关（χ²=6.833，P=0.009；Z=-2.116，P=0.034，Z=-2.382，P=0.017）；是否保留子宫、体质量与网片暴露无明显相关性（P>0.05）。糖尿病史、术中出血量是术后网片暴露的危险因素。结论 经阴道网片置入术后网片暴露与糖尿病史、术中出血量具有一定相关性，与是否保留子宫、体质量无明显相关性。

经阴道网片置入术后网片暴露相关因素分析

方灏, 程大丽

中国医科大学附属盛京医院妇科盆底病房, 沈阳 110004

收稿日期:2020-09-24出版日期:2021-03-30发布日期:2021-03-20
通讯作者:程大丽E-mail:chengdl@sj-hospital.org
作者简介:方灏(1995-),女,医师,硕士.



关键词: 网片暴露, 盆底重建术, 糖尿病, 出血量, 保留子宫, 体质量
Abstract: Objective To explore risk factors related to the occurrence of mesh exposure. Methods We collected the data of patients who underwent transvaginal mesh surgery between January 2016 and December 2017,and divided these patients into exposed and non-exposed groups. Using the t-test or Mann-Whitney U test and chi-square test,we compared the two groups for the presence of diabetes,volume of blood lost,retention of the uterus,body weight,and age. Results Three hundred patients (300) underwent transvaginal mesh surgery from January 2016 to December 2017. Out of the 279 patients which were successfully followed up,36 (12.90%) were included in the exposed group,270 were menopaused,out of which 34 were exposed,and 9 were non-menopaused,out of which 2 were exposed. We found that diabetes is related to mesh exposure (χ² =6.833,P=0.009);there is a correlation between the volume of blood lost during surgery and mesh exposure (Z=-2.116,P=0.034);there is a correlation between age and mesh exposure (Z=-2.382,P=0.017);there is no significant correlation between uterine retention and mesh exposure. There is no significant correlation between body weight and mesh exposure (P>0.05). Conclusion Mesh exposure significantly correlates with the presence of diabetes and volume of blood lost during surgery,age,and not significantly correlates with uterine retention,and body weight.
Key words: mesh exposure, pelvic floor reconstruction, diabetes, bleeding volume, uterine retention, body weight
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