盆腔脏器联合切除术术后空盆腔综合征的防治  

Prevention and treatment of empty pelvic syndrome after pelvic exenteration

作　　者：胡根[1] 赵振国[1] 仲卫冬 浦凌宵 王镇 李威[1] 刘金春[1] 戴丽强 张丽英[1] 华丽[1] 张剑 邵国益[1] Hu Gen;Zhao Zhenguo;Zhong Weidong;Pu Lingxiao;Wang Zhen;Li Wei;Liu Jinchun;Dai Liqiang;Zhang Liying;Hua Li;Zhang Jian;Shao Guoyi(Department of General SurgeryⅠ,Jiangyin People’s Hospital(Affiliated Jiangyin Hospital of Nantong University),Jiangyin 214400,Jiangsu,China;Department of Anorectal Surgery,The Second Affiliated Hospital of Naval Medical University(Shanghai Changzheng Hospital),Shanghai 200070,China)

机构地区：[1]江阴市人民医院(南通大学附属江阴医院)综合普外一科,江苏江阴214400 [2]海军军医大学第二附属医院(上海长征医院)肛肠外科,上海200070

出　　处：《结直肠肛门外科》2025年第1期11-15,共5页Journal of Colorectal & Anal Surgery

摘　　要：盆腔脏器联合切除术是指同时切除多个盆腔脏器以治疗原发性和复发性盆腔恶性肿瘤以及放射性直肠损伤的根治性手术,其手术创伤性大,并发症发生率高。因手术切除盆腔脏器后留有盆底空腔,可导致盆底脓肿、会阴切口裂开、肠梗阻、肠瘘等,称为空盆腔综合征。为预防空盆腔综合征,笔者团队采用“三明治”法,即术中在患者腹侧放置基底膜生物补片,肛侧放置基底膜生物补片,两侧补片中间放置大网膜瓣以重建盆底。对于盆底感染、会阴切口裂开的空盆腔综合征,笔者团队采用负压伤口治疗技术管理盆底创面,效果良好。Pelvic exenteration is a radical surgery for the treatment of primary and recurrent pelvic malignancies and radiation-induced rectal injury,involving the resection of multiple pelvic organs.This procedure is highly invasive and associated with a high incidence of complications.The removal of pelvic organs during surgery leaves an empty pelvic cavity,which can lead to pelvic abscess,perineal incision dehiscence,intestinal obstruction,and intestinal fistula,collectively known as empty pelvic syndrome.To prevent this syndrome,our team has adopted the“sandwich”technique,which involves placing a basal membrane bioscaffold on the abdominal side,another on the anal side,and a greater omental flap between the two scaffolds to reconstruct the pelvic floor.For empty pelvic syndrome involving pelvic infection and perineal incision dehiscence,our team effectively manage the pelvic wound using negative pressure wound therapy.

关 键 词：空盆腔综合征 盆腔脏器联合切除术 负压伤口治疗技术 

分 类 号：R735.3[医药卫生—肿瘤]