骨盆器官脱落的手术治疗使用colpocleisis:一个案例系列
Hassan M Elbiss1, Omaema Al-Baghdadi2
1Hassan M Elbiss, MD, MRCOG, FRCOG Departments of Obstetrics and Gynaecology, College of Medicine and Health Sciences, UAE University, Al Ain, UAE.
Pakistan journal of medical sciences
|September 8, 2023
概括
在老年妇女的骨盆器官脱落 (POP) 科尔波克莱西斯手术表明,与全科尔波克莱西斯相比,部分科尔波克莱西斯导致较少的血液损失和较短的手术时间.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 老年人手术是一门老年人手术.
背景情况:
- 骨盆器官脱落 (POP) 是一种普遍的疾病,特别是在老年人群中.
- 随着寿命的延长和对生活质量的重视,人们开始考虑对老年妇女进行手术干预,例如对老年妇女进行肠切除.
研究的目的:
- 在一个老年女性队列中,审查骨盆器官脱落的科尔波克莱西斯手术结果.
- 为了比较部分与总结肠杆结核病的结果,在患者人口统计学,脱落严重程度和手术结果方面.
主要方法:
- 一系列55名老年患者的病例,在2006年至2011年期间被诊断患有POP.
- 患者接受了部分或全部的结肠杆菌化.
- 分析了人口特征,POP严重程度和手术结果,包括血液损失和手术时间.
主要成果:
- 在80%的患者中进行了局部结肠切除,而在20%的患者中进行了总结肠切除.
- 接受部分结肠切除术的患者的血液损失显著减少 (135.7毫升 vs. 227.2毫升,p=0.02) 和手术时间缩短 (62.6分钟 vs. 75.0分钟,p=0.18) 与总结肠切除术相比.
- 在部分结症组中,的发生频率较低 (18%对64%,p=0.01).
结论:
- 部分结肠切除与总结肠切除相比,与减少手术时间和血液损失有关.
- 科尔波克莱西斯代表了一种可行的手术选择,用于那些不需要阴道保护性功能的老年女性.
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