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| 经耻骨后无张力阴道吊带术的临床解剖研究 | |
| 引用本文： | 艾贵海,李怀芳,王建军,孙静,童晓文. 经耻骨后无张力阴道吊带术的临床解剖研究[J]. 实用妇产科杂志, 2011, 27(9) |
| 作者姓名： | 艾贵海 李怀芳 王建军 孙静 童晓文 |
| 作者单位： | 1. 同济大学附属第一妇婴保健院,上海,200040 2. 同济大学附属同济医院,上海,200065 |
| 基金项目： | 上海市科学技术委员会医学重大课题(编号:09DZ1950300) |
| 摘 要： | 目的:明确经耻骨后无张力阴道吊带术的穿刺路径,并探讨其在治疗女性压力性尿失禁时的安全操作范围。方法:2009年10月至2010年10月应用红色乳胶分别对2具新鲜女性尸体标本进行桡动脉血管灌注,将灌注好的标本保存在1℃～3℃的冰柜里等待乳胶凝固,5天后对标本进行手术穿刺和路径解剖。同时测量穿刺针与相关血管、神经和脏器之间的空间距离,最后分析并计算出该术式的安全操作范围。结果:实验中所有穿刺均未发生副损伤,穿刺针与膀胱、闭孔血管神经、髂外血管、腹壁下血管和腹壁浅血管的距离分别是0.5±0.1cm、4.2±0.2cm、4.7±0.1cm、4.4±0.6cm和2.7±0.4cm。结论:术中穿刺针有失控导致穿刺方向旋转而损伤上述重要血管、神经和脏器的可能,但是只要在穿刺前正确定位好腹壁穿出点的位置,就可最大程度地减少术中并发症。 |
| 关 键 词： | 无张力阴道吊带术 压力性尿失禁 尸体 解剖 |
Clinical Anatomic Study on the Procedure of the Retropubic Tension-Free Vaginal Tape |
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| AI Guihai,LI Huaifang,WANG Jianjun,et al. Clinical Anatomic Study on the Procedure of the Retropubic Tension-Free Vaginal Tape[J]. Journal of Practical Obstetrics and Gynecology, 2011, 27(9) | |
| Authors: | AI Guihai LI Huaifang WANG Jianjun et al |
| Affiliation: | AI Guihai1,LI Huaifang2,WANG Jianjun2,et al(1.Shanghai First Maternity and Infant Hospital,Tongji University School of Medicine,Shanghai 200040,China,2.Tongji Hospital,Shanghai 200065,China) |
| Abstract: | Objective:To identify the route of the retropubic tension-free vaginal tape(TVT) procedure which is applied to treat stress urinary incontinence(SUI),and to explore the safety range.Methods:From October 2009 to October 2010,two fresh female cadavers were injected colored latex from radial artery;After 5 days,TVT procedure was performed when lactoprene solidified;Then,a clinical anatomic study and measurements between the trocar locations and related vassels,nerves or organs were carried out;In the end,the s... |
| Keywords: | Tension-free vaginal tape Stress urinary incontinence Cadaver Anatomy |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |