Antimicrobial mesh versus vaginal wall sling: A comparative outcomes analysis
Antimicrobial mesh versus vaginal wall sling: A comparative outcomes analysis
复制标题
DOI：
10.1016/s0022-5347(05)67553-2
复制
发表时间：
2000-06-01
影响因子：
6.6
通讯作者：
Battino, BS
中科院分区：
文献类型：
--
作者：
Choe, JM;Ogan, K;Battino, BS
目的：我们前瞻性地比较经阴道抗菌网（MycroMesh*）和阴道前壁吊带进行结果分析。材料和方法：在1997年8月至1998年11月期间，我们将40名连续女性植入经阴道吊带，随机分为合成补片组（20人）和阴道壁组（20人）。所有患者术前尿动力学均有应激性尿失禁记录。我们前瞻性地比较了盆腔检查、咳嗽压力测试、棉签测试和使用视觉模拟量表验证的患者问卷所获得的术后结果数据。结果：所有患者均获得完整随访。平均随访22个月（12 ~ 27个月）。补片组和阴道壁组应力性尿失禁治愈率分别为95%和70%，盆腔脱垂治愈率分别为100%和95%。暂时性急迫性尿失禁出现在12.5%的补片组和14.3%的阴道壁组。在Valsalva操作期间，补片组和阴道壁组术后棉签的平均角度分别为20度和45度。两组患者尿潴留和组织糜烂的发生率均为0%。补片组满意率为100%，阴道壁组满意率为80%。结论：抗菌MycroMesh吊带矫正应力性尿失禁和盆腔脱垂的效果优于阴道壁吊带，且发病率较低。
Purpose: We prospectively compared transvaginal antimicrobial mesh (MycroMesh*) and anterior vaginal wall slings using an outcomes analysis.Materials and Methods: Between August 1997 and November 1998 we implanted transvaginal slings in 40 consecutive women randomized to a synthetic mesh (20) or vaginal wall (20) group. All patients had documented stress urinary incontinence on preoperative urodynamics. We prospectively compared postoperative outcomes data obtained from pelvic examinations, cough stress test, cotton swab test and validated patient questionnaires using a visual analog scale.Results: Complete followup was available in all patients. Mean followup was 22 months (range 12 to 27). Stress incontinence was cured in 95% of the mesh and 70% of the vaginal wall group, and pelvic prolapse was cured in 100% and 95%, respectively. Transient de novo urge incontinence was noted in 12.5% of the mesh and 14.3% of the vaginal wall group. Mean postoperative cotton swab angle during Valsalva's maneuver was 20 and 45 degrees for the mesh and vaginal wall groups, respectively. The incidence of urinary retention and tissue erosion was 0% for both groups. The satisfaction rate was 100% and 80% for the mesh and vaginal wall groups, respectively.Conclusions: The antimicrobial MycroMesh sling was superior to the vaginal wall sling for correction of stress incontinence and pelvic prolapse with comparatively low morbidity.