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对深层子宫内膜异位症进行血管和神经节约性肠切除:一项回顾性单中心研究

Manuel Maria Ianieri¹, Alessandra De Cicco Nardone¹, Greta Benvenga²

¹Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Unit of Oncological Gynecology, Women's Children's and Public Health Department, Rome, Italy.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|August 9, 2023

概括

这项研究表明,用于深层子宫内膜异位症 (DE) 的神经和血管节约性肠切除技术是安全的,并改善了胃肠功能. 这种方法导致了很少的并发症和没有重大不良事件,证明了它的有效性.

科学领域:

妇科妇科医生妇科
手术瘤学手术瘤学
胃肠病学胃肠病学

背景情况:

肠子子宫内膜异位症的手术治疗仍然存在争议.
保护上方直肠动脉可能会改善静脉穿的 perfusion.
神经和血管的保存是深层子宫内膜异位症 (DE) 手术中的关键考虑因素.

研究的目的:

评估神经和血管节约性肠切除技术对深层子宫内膜异位症 (DE) 的并发症率和功能结果.

主要方法:

对61名患者进行了回顾性单一中心研究,这些患者接受了针对DE的细分直红素体切除.
记录了手术内和手术后的并发症.
在手术前和手术后6个月使用验证的问卷 (KESS,GIQLI,BFLUTS,FSFI) 评估功能性结果 (胃肠道,尿道,性).

主要成果:

没有观察到Clavien-Dindo级别3或4的并发症,直阴囊或尿路病变.
在8.2%的患者中,发生了暂时的膀空缺,在45天内消失.
胃肠功能显著改善 (KESS,GIQLI);性功能显示不显著恶化.

结论:

对DE的血管和神经节约细分肠切除技术与较低的并发症率有关.
这种方法可以在术后改善胃肠功能.
该技术在治疗肠道子宫内膜异位症方面证明了安全性和有效性.

关键词:

肠子内膜异位症是什么肠切除肠切除肠切除发生并发症,并发症.深度子宫内膜异位症是什么功能性结果的结果.血管节约 - 节省血管

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