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妇女的手术与阴道缩的阴道缩

Christopher Maher¹, Ellen Yeung², Nir Haya³

¹Wesley and Royal Brisbane and Women's Hospitals, Brisbane, Australia.

The Cochrane database of systematic reviews

|July 26, 2023

概括

与阴道手术相比,神圣切术对顶阴道塌的结果更好,减少了塌的复发和意识. 经阴道网对本地组织修复没有任何优势,并且存在风险.

科学领域:

妇科手术手术是妇科手术.
骨盆器官的脱落是因为骨盆器官的脱落.
泌尿和妇科泌尿和妇科

背景情况:

上阴道脱落涉及子宫或阴道的下降.
有许多手术治疗方法,但缺乏基于证据的指导方针.
最佳的手术管理需要比较的安全性和疗效数据.

研究的目的:

为了评估手术干预的安全性和有效性,对于顶阴道脱落.
为了比较不同的外科手术方法及其结果.

主要方法:

随机对照试验 (RCT) 的系统审查.
搜索了多个数据库,包括Cochrane,MEDLINE和临床试验.gov.gov.
主要结局包括倒意识,重复手术和复发.

主要成果:

与阴道手术相比,神经腹术显示出更低的倒意识,复发和重复手术率.
阴道手术与更高的压力尿失禁 (SUI) 率有关.
经阴道网对本地组织修复没有任何好处,但具有17.5%的网状暴露率.

结论:

圣体缩与顶阴道缩的结果比阴道干预更好.
目前的证据不支持用于顶脱落的经阴道网的使用.
laparoscopic sacral colpopexy 在手术时间和入院时间方面具有优势.

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