中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
15期
9-11
,共3页
骨盆底%子宫脱垂%尿失禁,压力性%全盆底悬吊术
骨盆底%子宮脫垂%尿失禁,壓力性%全盆底懸弔術
골분저%자궁탈수%뇨실금,압력성%전분저현조술
Pelvic floor%Uterine prolapse%Urinary incontinence,stress%Pelvic floor suspension
目的 探讨聚丙烯网片在全盆底重建术(保留子宫)治疗盆腔器官脱垂的效果及并发症.方法 对15例盆腔多个部位缺陷的盆腔器官脱垂患者使用聚丙烯网片行保留子宫的全盆底网片悬吊术.14例患者存在3个部位的缺陷,1例患者存在2个部位的缺陷.结果 所有病例穿刺顺利,无膀胱或直肠损伤.手术时间60～150min,平均(85.0±4.3)min,术中出血量150～400ml,平均(200.0±10.1)ml.15例患者术后恢复好,无感染发生.住院时间5～9 d,平均(6.0±0.7)d.术后随访1～12个月,患者盆底结构基本正常,相关症状消失或明显改善.1例患者术后5周复查时发现有网片侵蚀,经过修剪侵蚀的网片后半年随诊恢复正常.结论 经阴道全盆底网片悬吊术是一种能治疗多区域、复杂型盆腔器官脱垂的微创手术.在保留子宫的同时能完成全盆底结构和功能的全部或部分重建.短期疗效稳定,长期疗效有待于进一步观察.
目的 探討聚丙烯網片在全盆底重建術(保留子宮)治療盆腔器官脫垂的效果及併髮癥.方法 對15例盆腔多箇部位缺陷的盆腔器官脫垂患者使用聚丙烯網片行保留子宮的全盆底網片懸弔術.14例患者存在3箇部位的缺陷,1例患者存在2箇部位的缺陷.結果 所有病例穿刺順利,無膀胱或直腸損傷.手術時間60～150min,平均(85.0±4.3)min,術中齣血量150～400ml,平均(200.0±10.1)ml.15例患者術後恢複好,無感染髮生.住院時間5～9 d,平均(6.0±0.7)d.術後隨訪1～12箇月,患者盆底結構基本正常,相關癥狀消失或明顯改善.1例患者術後5週複查時髮現有網片侵蝕,經過脩剪侵蝕的網片後半年隨診恢複正常.結論 經陰道全盆底網片懸弔術是一種能治療多區域、複雜型盆腔器官脫垂的微創手術.在保留子宮的同時能完成全盆底結構和功能的全部或部分重建.短期療效穩定,長期療效有待于進一步觀察.
목적 탐토취병희망편재전분저중건술(보류자궁)치료분강기관탈수적효과급병발증.방법 대15례분강다개부위결함적분강기관탈수환자사용취병희망편행보류자궁적전분저망편현조술.14례환자존재3개부위적결함,1례환자존재2개부위적결함.결과 소유병례천자순리,무방광혹직장손상.수술시간60～150min,평균(85.0±4.3)min,술중출혈량150～400ml,평균(200.0±10.1)ml.15례환자술후회복호,무감염발생.주원시간5～9 d,평균(6.0±0.7)d.술후수방1～12개월,환자분저결구기본정상,상관증상소실혹명현개선.1례환자술후5주복사시발현유망편침식,경과수전침식적망편후반년수진회복정상.결론 경음도전분저망편현조술시일충능치료다구역、복잡형분강기관탈수적미창수술.재보류자궁적동시능완성전분저결구화공능적전부혹부분중건.단기료효은정,장기료효유대우진일보관찰.
Objective To discuss the clinical efficacy and complication of using polypropylene net in pelvic floor reconstruction to treat pelvic floor organ prolapsus. Method From October 2007 to May 2008,15 cases of organ prolapsus of many region defect in pelvic cavity were operated pelvic floor reconstruction, 14 cases had three regional defects,and 1 case had two regional defects. Results All the cases were punctured smoothly without hematoma and injury of blood vessel and organs. The time of operation for 15 cases ranged from 60 to 150 minutes,averaged (85.0±4.3) minutes. The amount of bleeding in operations ranged from 150 to 400 ml,averaged (200.0±0.1) ml. Fifteen cases recovered well after operation without infection.The days in hospital were 5-9 days,averaged (6.0±0.7) days. Following up 1-12 months,pelvic floor structure of all patients were normal,and interrelated symptom disappeared or improved. One case was discovered the net was eroded after 5 weeks. Conclusions Pelvic floor suspension by vagina is a micro operation to treat complicated pelvic floor organ prolapsus. It can accomplish pelvic floor reconstruction and reserve uterus simultaneously, healing efficacy is stable in short-term,but need further observation.
