中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

经阴道植入网片手术与疼痛

  

  1. 北京大学人民医院妇产科，女性盆底疾病研究北京市重点实验室，北京100044
  • 出版日期:2020-10-02 发布日期:2020-10-22
  • 通讯作者: 孙秀丽
  • 基金资助:
    国家重点研发计划（2018YFC2002200，2018YFC2002204）；国家自然科学基金（81571420）

Transvaginal mesh surgery and pain.

  1. Department of Obstetrics and Gynecology，Peking University People’s Hospital & The Key Laboratory of Female Pelvic Floor Disorders Disease，Beijing 100044，China
  • Online:2020-10-02 Published:2020-10-22

摘要： 经阴道植入网片（tranvaginal mesh，TVM）手术已广泛用于盆腔器官脱垂（pelvic organ prolapse，POP）的修复治疗，复发率较自体组织修复术有所降低，但由于网片相关的独特并发症，美国食品药品监督管理局（FDA）曾多次通告并于2019年4月宣布禁止TVM在美国销售。疼痛作为TVM术后的主要并发症之一，严重影响患者生活质量。文章重点论述TVM术后相关疼痛的类型、原因、可能的机制及处理原则，并展望TVM的未来发展应用。

关键词: 经阴道植入网片, 盆腔器官脱垂, 疼痛

Abstract: Tranvaginal mesh（TVM）surgery has been widely used in surgical repair of pelvic organ prolapse.The recurrence rate proved to be lower than that of native tissue repair.However，due to the unique complications of transvaginal mesh for POP，the US Food and Drug Administration（FDA）has repeatedly restricted its use and banned the application from sale in the US in April 2019.As one of the main complications of TVM，pain seriously affects patients’ quality of life.This article focuses on the type of pelvic pain after TVM，and try to analyze the causes，the possible mechanism and management of it，and makes a prospect of the future development of TVM.

Key words: transvaginal mesh, pelvic organ prolapse, pain

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