国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (2): 93-97.

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盆底重建术并发症的准确描述及防治


丁岩,李晓红
  

  1. 830054 乌鲁木齐,新疆医科大学第一附属医院妇科-生殖中心
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-04-15 发布日期:2014-04-15

The Accurate Description and Prevention and Treatment of Pelvic Floor Reconstruction Complications

DING Yan,LI Xiao-hong   

  1. Department of Gynaecology-Reproductive Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-04-15 Online:2014-04-15

摘要: 近年来合成网片的盆底重建术广泛应用于盆腔器官脱垂(pelvic organ prolapse,POP)的治疗,但有可能出现各种并发症。为了便于并发症研究,由国际泌尿妇科学会(International Urogynecological Association,IUGA)、国际尿控协会(International Continence Society,ICS)联合组成的委员会于 2011 年制定并发表了女性盆底修补手术植入材料相关并发症的标准化术语及分类系统。经阴道网片植入治疗POP虽然可以提高治愈率、减少复发率,但是术后会出现多种并发症,包括网片侵蚀、暴露、局部感染、术后疼痛及性交困难等,熟练掌握手术技巧可有效防治相关的并发症。

关键词: 子宫脱垂, 骨盆底, 产科外科手术, 手术后并发症, 盆底重建手术, CTS 分类系统

Abstract: In recent years pelvic reconstruction surgery with synthetic mesh is widely used in treatment of pelvic organ prolapse (POP),but there are many kinds of complications may occur. In order to research complications,the International Urogynecological Association (IUGA) and International Continence Society(ICS) formulated and published the standardization and classification system of complications associated to female pelvic floor repair material in 2011. The transvaginal mesh implant in treatment of POP while improve the cure rate,reduce the recurrence rate, can appear a variety of postoperative complications,including mesh erosion,exposure,local infection, postoperative pain and difficulty of sexual intercourse,good operation skills can effectively prevent and treat complications.

Key words: Uterine prolapse, Pelvic floor, Obstetric surgical procedures, Postoperative complications, Pelvic floor reconstruction, CTS classification system