改良简易式前盆底重建术治疗阴道穹窿脱垂
Electronic Journal of Medical Operations（2023）
Abstract
手术采用气管插管全麻下取膀胱截石位,消毒铺单后置入导尿管.切开阴道前壁黏膜并向两侧分离至坐骨支,扩大间隙,清晰触诊双侧坐骨棘及骶棘韧带,使用穿刺器沿尿道口两侧切口穿入,经闭孔、坐骨棘上方自阴道旁间隙穿出.放置网片于膀胱下,将网片上下端采用不可吸收丝线缝合两侧子宫主韧带附着处及膀胱颈周围筋膜.距阴道黏膜切缘 1 cm处予以可吸收线缝合阴道黏膜,修补阴道前后壁.向外牵拉网片丝线,平皮肤剪除丝线,完成改良简易式前盆底重建.
MoreKey words
modified simple anterior pelvic floor reconstruction,vaginal vault prolapse,vaginal wall repair
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