盆底重建手术术后肠道并发症的评估与处理  

Evaluation and management of intestinal complications following pelvic floor reconstruction surgery

作　　者：刘倩倩[1] 杨莹莹[2] 吴桂珠 LIU Qian-qian;YANG Ying-ying;WU Gui-zhu(Department of Gynecology,Obstetrics and Gynecolgy Hospital,School of Medicine,Tongji Uni-versity,Shanghai 201204,China;不详)

机构地区：[1]同济大学附属妇产科医院妇科,上海201204 [2]同济大学附属妇产科医院临床医学研究中心,上海201204

出　　处：《中国实用妇科与产科杂志》2024年第3期271-272,273-275,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：上海市科学技术委员会医学创新项目(22Y11906200);上海申康医院发展中心(SHDC2023CRS027);上海市第一妇婴保健院院级课题(2023A13,2023LYPYB03,2019RC06);浦东新区医联体项目(PDYLT2022-17)。

摘　　要：盆腔器官脱垂(POP)严重影响女性的身心健康。盆底重建手术是治疗中重度POP的主要方法,但由于盆底解剖结构复杂,手术易引发肠道并发症。全面认识盆底重建手术术后肠道并发症,采取有效措施评估和处理,是提高手术安全性、改善预后的关键。文章主要阐述了盆底重建手术术后胃肠功能障碍、新发便秘、肠道损伤/肠瘘、肠梗阻、网片侵蚀肠道等肠道并发症的评估与处理。Pelvic organ prolapse(POP)seriously affects women's physical and mental health.Pelvic floor reconstruction surgery is the main treatment procedure for moderate-to-severe POP.However,due to the complex anatomy of the pelvic floor,the surgery is prone to causing the intestinal complications.A comprehensive understanding of postoperative intestinal complications after pelvic floor reconstruction surgery,and taking effective measures to evaluate and manage them are the keys to improving the safety of surgery and improving the prognosis.This article mainly describes the evaluation and management of postoperative intestinal complications after pelvic floor reconstruction surgery,including gastrointestinal dysfunction,intestinal injury&fistula,intestinal obstruction,mesh erosion of the intestinal tract,and new-onset constipation.

关 键 词：盆底重建手术 肠道并发症 评估 处理 

分 类 号：R711.5[医药卫生—妇产科学]