摘要
网片感染是盆底重建手术术后较为罕见的并发症,起病隐匿,常合并网片暴露、侵蚀或器官穿孔.其发生与网片的材质、网片与机体的相互作用、阴道细菌菌落定植以及术者的操作有关.一旦出现蜂窝织炎、脓肿、窦道/瘘管形成,处理困难,需要全面评估,首选盆腔磁共振成像(MRI)检查,并进行积极的手术处理和多学科诊疗团队支持.文章介绍了盆底重建手术术后网片感染的发病率、病因、临床表现、诊断与处理方法.选择合适的网片和术式、避免术中损伤、确切止血、应用抗生素以及尽可能避免子宫切除是较为有效的预防措施.
Abstract
Mesh infection is a relatively rare compli-cation after pelvic floor reconstruction surgery,with a hidden disease course and often accompanied by mesh exposure,extrusion,or perforation into adjacent organs.Mesh type,the interaction between the mesh and the body,the colonization of vaginal bacterial flora and the surgeon's operation might contribute to the mesh in-fection.Once cellulitis,abscess,sinus/fistula formation occur,treatment is difficult and requires comprehen-sive evaluation revolving pelvic MR.Surgical inter-vention and multidisciplinary team support are often required.Choosing the appropriate mesh and surgical method,avoidance intraoperative injury,precise he-mostasis,using antibiotics,and uterus preservation are effective preventive measures.
基金项目
国家重点研发计划(2021YFC2701300)
国家重点研发计划(2021YFC2701302)
中国医科院医学与健康科技创新工程项目(2021-I2M-1-001)
国家科技期刊平台
NSTL
万方数据