Objective: To evaluate, in a comprehensive way, mesh and mesh free SUI treatment results obtained in a single center. The present study addresses the efficacy and safety of a novel surgical technique. Material & M...Objective: To evaluate, in a comprehensive way, mesh and mesh free SUI treatment results obtained in a single center. The present study addresses the efficacy and safety of a novel surgical technique. Material & Methods: Adult female SUI patients, 184 in total, were divided within a sequential manner into two groups to be treated for SUI either with or without mesh insertion during a surgical intervention. In this novel procedure, a vertical vaginal incision from the urethra towards the bladder bottom is made and closed transversely. After the intervention the patients revisited the clinic at the 6th month. Results: 81 patients in mesh and 83 in the mesh free group completed the 2-year follow up. Based on the pad tests conducted at the end of 24-month follow up, 82% of the patients in the mesh free group and 85% in the mesh group were considered as successful if the pad test resulted with ≤2 gram. Cystocele of Grade I or II was also treated in 69 patients within the same single surgical procedure. Conclusion: The surgical outcomes of the mesh and mesh-free group were almost the same. However, though the cure rate of the mesh group was higher, it was not statistically significant. Adverse events were more frequent in the mesh group due to mesh presence.展开更多
文摘Objective: To evaluate, in a comprehensive way, mesh and mesh free SUI treatment results obtained in a single center. The present study addresses the efficacy and safety of a novel surgical technique. Material & Methods: Adult female SUI patients, 184 in total, were divided within a sequential manner into two groups to be treated for SUI either with or without mesh insertion during a surgical intervention. In this novel procedure, a vertical vaginal incision from the urethra towards the bladder bottom is made and closed transversely. After the intervention the patients revisited the clinic at the 6th month. Results: 81 patients in mesh and 83 in the mesh free group completed the 2-year follow up. Based on the pad tests conducted at the end of 24-month follow up, 82% of the patients in the mesh free group and 85% in the mesh group were considered as successful if the pad test resulted with ≤2 gram. Cystocele of Grade I or II was also treated in 69 patients within the same single surgical procedure. Conclusion: The surgical outcomes of the mesh and mesh-free group were almost the same. However, though the cure rate of the mesh group was higher, it was not statistically significant. Adverse events were more frequent in the mesh group due to mesh presence.
文摘目的:总结近10年针灸治疗女性盆底功能障碍性疾病的选穴规律。方法:检索中国知网数据库(CNKI)、维普数据库(VIP)和万方数据库(Wanfang)中近10年针灸治疗女性盆底功能障碍性疾病(pelvic floor dysfunction,PFD)的相关临床文献,检索时间段为2009年1月至2019年12月。PFD包括压力性尿失禁(stress urinary incontinence,SUI)、盆腔器官脱垂(pelvic organ prolapse,POP)以及产后性功能障碍(postpartum female sexual disfunction,PSD)。结果:针灸治疗SUI文献126篇,涉及48个穴位,总频次580次,选穴以关元、中极、三阴交、肾俞、气海、足三里、会阳、次髎、中髎、膀胱俞、百会最多。针灸治疗POP文献45篇,共使用39个穴位,总频次323次,选穴以关元、气海、百会、三阴交、足三里、子宫、中极、维道、肾俞、大赫最多。针灸治疗PSD文献3篇。针灸治疗PFD选穴频率最高为关元,经脉以任脉、足太阳膀胱经为主,选穴主要分布在腹部,特定穴以交会穴使用最多。结论:针灸治疗PFD注重远近配合、循经取穴,对于PFD不同的症状表现,选穴侧重点略有不同。
