宫腔镜处理骶骨固定术术后网片并发症的价值  

Value of hysteroscopy in the management of mesh complications of sacrocolpopexy

作　　者：吴珍珍[1] 刘青[1] WU Zhenzhen;LIU Qing(Department of Gynecology,Gansu Provincial Maternity and Child-Care Hospital,Lan-zhou 730050,China)

机构地区：[1]甘肃省妇幼保健院妇科,甘肃兰州730050

出　　处：《中国实用妇科与产科杂志》2024年第3期283-287,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：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)。

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 individualized 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 explored the hysteroscopy technique to treat mesh-related complications by using anterior sacral space.The advantages of this technique are minimally invasive,clear surgical field and small damage.

关 键 词：宫腔镜手术 骶骨固定术 网片并发症 网片暴露 感染 

分 类 号：R711.5[医药卫生—妇产科学]