宫腔镜处理骶骨固定术术后网片并发症的价值
Value of hysteroscopy in the management of mesh complications of sacrocolpopexy
吴珍珍 1刘青1
作者信息
- 1. 甘肃省妇幼保健院妇科,甘肃兰州 730050
- 折叠
摘要
经腹骶骨固定术是治疗盆腔器官脱垂顶端缺陷的标准术式,其网片相关并发症包括网片暴露、感染、疼痛.对于网片并发症的处理强调个体化治疗,可选择保守治疗,必要时需手术移除,可选择腹腔镜、开腹、经阴道途径,其各有利弊.探索性应用宫腔镜技术、利用骶前间隙处理网片相关并发症,具有微创、术野清晰、损伤小的优点.
Abstract
Abdominal Sacralcolpopexy(ASC)is the standard surgical method to repair apical defect of pelvic organ prolapse.Mesh-related complications of ASC include mesh exposure,infection and pain.It is necessary to manage mesh complications with indi-vidualized approach.Conservative therapy is a choice of treatment and surgical mesh removal can be done if necessary.The surgical route can be laparoscopic,transabdominal and transvaginal approach,each having its own advantages and disadvantages.Our team ex-plored the hysteroscopy technique to treat mesh-re-lated complications by using anterior sacral space.The advantages of this technique are minimally invasive,clear surgical field and small damage.
关键词
宫腔镜手术/骶骨固定术/网片并发症/网片暴露/感染Key words
hysteroscopy/sacrocolpopexy/mesh complications/mesh exposure/infection引用本文复制引用
基金项目
甘肃省卫生行业科研项目(GSWSKY2020-16)
甘肃省重点研发计划(社会发展类)(21YF1FA049)
出版年
2024