应用网片或结合网带治疗女性盆底功能障碍性疾病的手术观察

来源 :中国伤残医学 | 被引量 : 0次 | 上传用户:gzsoft168
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:探讨网片(mesh)在女性盆底重建手术中应用的可行性及有效性。方法:对10例不同程度盆底功能障碍性疾病患者,依照POP-Q评估系统将盆腔器官膨出分度,应用网片对阴道前壁加固术及应用网带经阴道后路悬吊带术,治疗盆底组织膨出(POP)及/或压力性尿失禁(SUI)。结果:10例患者平均年龄51岁,手术时间46分钟,出血量平均86ml,住院时间5天~17天,术后平均随访18个月。随访期间无膀胱膨出复发,手术后6个月有1例患者再度出现了直肠膨出,一例出现排异反应。结论:手术微创、无复发(短期内)、并发症少、解决了既往无法解决的后尿路悬吊治疗子宫脱垂阴道后壁再次脱垂的棘手问题,并可保留子宫,在临床有可行性,在本领域具有明显的先进性和创新性。 Objective: To investigate the feasibility and effectiveness of mesh in female pelvic floor reconstruction. Methods: Ten patients with pelvic floor dysfunction disease of different degrees were enrolled in this study. Pelvic organ bulge was indexed according to POP-Q evaluation system. Meshes were applied to the anterior vaginal wall to reinforce the vagina and the vaginal posterior vaginal tape was applied. Treatment of pelvic floor tissue bulging (POP) and / or stress urinary incontinence (SUI). Results: The average age of the 10 patients was 51 years, the operation time was 46 minutes, the average amount of bleeding was 86ml, the length of stay was 5 days to 17 days, and the average follow-up time was 18 months. No recurrence of cystocele was observed during the follow-up period. One case of rectal prolapse occurred again in 6 months after operation, and an abnormal reaction occurred in one case. Conclusion: The minimally invasive surgery without recurrence (short term) has fewer complications and solves the thorny problem of retropulmonary prolapse of the uterine prolapse and prolapse of the posterior wall of the vagina again, which can not be solved in the past. Feasibility, in the field has obvious advanced and innovative.
其他文献
主要诸元:  使用枪弹  12号口径霰弹  全枪长  910mm(托伸)/670mm(托折)  枪管长  430mm  全枪质量  3.5kg  弹匣容弹量  2、5、7发    该霰弹枪采用折叠式枪托,枪机机构与AK系列武器基本相同,采用单排弹匣供弹,弹匣容弹量有2发、5发和7发3种,图中装配的弹匣容弹量为5发。霰弹枪的射程一般较近,勿需精确瞄准,而该枪却加装了光学瞄具,不知其实战价值如何。
期刊
目的:探讨球囊扩张治疗贲门失弛缓症的方法和疗效。材料和方法:在X线透视下对13例贲门失弛缓症患者应用球囊导管进行扩张。结果:扩张技术成功率100%,1次扩张成功12例,2次扩张