国际妇产科学杂志

国际妇产科学杂志 ›› 2010, Vol. 37 ›› Issue (3): 179-182.

• 综述 • 上一篇    下一篇

妇科手术后粘连发生机制及防治研究进展

兰义兵,周坚红   

  1. 310006 杭州，浙江大学医学院附属妇产科医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-06-15 发布日期:2010-06-15
  • 通讯作者: 周坚红

The Mechanism and Prevention of Adhesion After Gynecologic Surgery in Progress

LAN Yi-bing, ZHOU Jian-hong   

  1. Affiliated Women’s Hospital, Medical School of Zhejiang University, Hangzhou 310006, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2010-06-15 Online:2010-06-15
  • Contact: ZHOU Jian-hong

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摘要： 粘连的形成是妇科手术后重要的并发症，可导致患者小肠梗阻、不孕、慢性盆腔疼痛等一系列并发症，同时也增加了再次手术的难度。粘连所致并发症的防治、经济负担增加及再入院风险受到极大关注。多种防治粘连的方法，如外科手术的改进、生物物理屏障的应用、药物干预等研究都有较大的进展，就粘连的发生机制及防治进展综述。

关键词: 妇科学, 手术后并发症, 粘连, 综合预防, 治疗, 结果评价

Abstract: The formation of adhesions after gynecologic surgery is an important complication, which may result in postoperative small bowel obstruction, infertility, chronic pelvic pain and other issues, but also increase the difficulty of reoperation. The prevention and control of complication, the increase of economic cost and the risk of readmission brought great concern. A variety of adhesion control methods, such as the improvements in surgical procedures, the application of biophysical barriers and the drug intervention, have a great development. This article is to summarize the progress of mechanism and prevention of adhesion.

Key words: Gynecology, Postoperative complications, Adhesions, Universal precautions, Therapy, Outcome assessment