A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse
A 14-year multi-institutional collaborative study of Chinese pelvic floor surgical procedures related to pelvic organ prolapse作者机构：Department of Obstetrics and GynecologyPeking Union Medical College HospitalPeking Union Medical CollegeChinese Academy of Medical SciencesBeijing 100730China Department of Obstetrics and GynecologyGraduate School of Peking Union Medical CollegeChinese Academy of Medical SciencesBeijing 100730China Department of Epidemiology and BiostatisticsInstitute of Basic Medical SciencesChinese Academy of Medical Sciences and School of Basic MedicinePeking Union Medical CollegeBeijing 100730China Department of Obstetrics and GynecologyThe Fourth Medical CenterChinese PLA General HospitalBeijing 100048China Department of GynecologyObstetrics and Gynecology Hospital of Fudan UniversityShanghai 200433China Department of Obstetrics and GynecologyPeking University Third HospitalBeijing 100083China department of Obstetrics and GynecologyTongji HospitalTongji UniversityShanghai 200065China Department of Obstetrics and GynecologyWest China Second HospitalSichuan UniversityKey Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduSichuan 061110China Department of Obstetrics and GynecologyPeking University People’s HospitalBeijing 100044China Department of Obstetrics and GynecologyThe Second Hospital of Hebei Medical UniversityShijiazhuangHebei 075100China Department of Obstetrics and GynecologyQilu Hospital of Shandong UniversityJinanShandong 250002China Department of Obstetrics and Gynecology900 Hospital of the Joint Logistics TeamFuzhouFujian 350025China Department of Obstetrics and GynecologyWomen’s HospitalSchool of MedicineZhejiang UniversityHangzhouZhejiang 310000China Department of Obstetrics and GynecologyNanjing First HospitalNanjing Medical UniversityNanjingJiangsu 210006China Department of Obstetrics and GynecologyThe Third Affiliated Hospital of Zhengzhou UniversityZhengzhouHenan 450000China Department of Obstetrics and GynecologyShanghai Jiao Tong University Sixth HospitalShanghai 200300China Department of GynecologyThe Affiliated Wuxi Maternity and Child Health Care Hospital of Nanjing Medical UniversityWuxiJiangsu 214002China Department of Obstetrics and GynecologyThe Affiliated Yantai Yuhuangding Hospital of Qingdao UniversityYantaiShandong 264000China Department of GynecologyJiangxi Maternal and Child Health HospitalNanchangJiangxi 330006China Department of GynecologyShanxi Maternal and Child Health HospitalTaiyuanShanxi 030013China Department of Obstetrics and GynecologyThe First Affiliated Hospital of Army Medical University(Southwest Hospital)Chongqing 400038China Department of Obstetrics and GynecologyShengjing Hospital of China Medical UniversityShenyangLiaoning 110004China Department of GynecologyThe First Affiliated Hospital of Xinjiang Medical UniversityUrumqiXinjiang 831118China Department of GynecologyGansu Province Maternity and Child-care HospitalLanzhouGansu 730050China
出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)
年 卷 期：2021年第134卷第2期
页 面：200-205页
核心收录：
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学]
基 金：supported by the grants from the Beijing Natural Science Foundation(No.Z190021) the National Natural Science Foundation of China(Nos.81830043,81771561,81971366,and 81671442) the Chinese Academy of Medical Sciences(CAMS)Initiative for Innovative Medicine(No.CAMS-2017-I2M-1-002)
主 题：Laparoscopic sacrocolpopexy Pelvic organ prolapse Synthetic mesh Transvaginal placement of surgical mesh
摘 要：Background:It has been a global trend that increasing complications related to pelvic floor surgeries have been reported over *** current study aimed to outline the development of Chinese pelvic floor surgeries related to pelvic organ prolapse(POP)over the past 14 years and investigate the potential influence of enhanced monitoring conducted by the Chinese Association of Urogynecology since ***:A total of 44,594 women with POP who underwent pelvic floor surgeries between October 1,2004 and September 30,2018 were included from 22 tertiary academic medical *** data were reported voluntarily and obtained from a *** compared the proportion of each procedure in the 7 years before and 7 years after September 30,*** data were analyzed by performing Z test(one-sided).Results:The number of different procedures during October 1,2011-September 30,2018 was more than twice that during October 1,2004-September 30,*** pelvic floor surgeries related to POP,the rate of synthetic mesh procedures increased from 38.1%(5298/13,906)during October 1,2004-September 30,2011 to 46.0%(14,107/30,688)during October 1,2011-September 30,2018,whereas the rate of non-mesh procedures decreased from 61.9%(8608/13,906)to 54.0%(16,581/30,688)(Z=15.53,P0.001).Regarding synthetic mesh surgeries related to POP,the rates of transvaginal placement of surgical mesh(TVM)procedures decreased from 94.1%(4983/5298)to 82.2%(11,603/14,107)(Z=20.79,P0.001),but the rate of laparoscopic sacrocolpopexy(LSC)procedures increased from 5.9%(315/5298)to 17.8%(2504/14,107).Conclusions:The rate of synthetic mesh procedures increased while that of non-mesh procedures decreased *** rate of TVM procedures decreased while the rate of LSC procedures increased *** registration number:NCT03620565,https://***.
维普期刊数据库
同方期刊数据库