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宫腔镜处理骶骨固定术术后网片并发症的价值OA北大核心CSTPCD

Value of hysteroscopy in the management of mesh complications of sacrocolpopexy

中文摘要英文摘要

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.

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.

吴珍珍;刘青

甘肃省妇幼保健院妇科,甘肃兰州 730050

临床医学

宫腔镜手术骶骨固定术网片并发症网片暴露感染

hysteroscopysacrocolpopexymesh complicationsmesh exposureinfection

《中国实用妇科与产科杂志》 2024 (003)

283-287 / 5

甘肃省卫生行业科研计划项目(GSWSKY2020-16);甘肃省重点研发计划-社会发展类(21YF1FA049)

10.19538/j.fk2024030107

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