"重复的科尔波克莱西斯":文献综述和案例报告
K Marie Douglass1, Tajnoos Yazdany2
1Division of Urogynecology and Reconstructive Pelvic Surgery, Harbor-UCLA Medical Center, 1000 W Carson Avenue, Los Angeles, CA, 90502, USA. KDouglass2@dhs.lacounty.gov.
International urogynecology journal
|June 28, 2024
概括
科尔波克莱西斯对于盆腔器官脱落是有效的,但可能会出现复发. 重复的结肠镜是最常见的再治疗方法,在初始结肠镜之后,在短期内取得了很好的成功,可以在初始结肠镜后进行管理.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 骨盆重建手术 骨盆重建手术
背景情况:
- 科尔波克莱西斯是一种成功的骨盆器官脱落 (POP) 手术治疗方法,患病率低,患者满意度高.
- 然而,关于在结肠杆cleisis后管理复发性倒塌的数据是有限的.
研究的目的:
- 审查现有的有关结核细胞失败和再治疗选择的文献.
- 描述一个重复性塌的重复性塌病例.
主要方法:
- 118篇文章的文献综述,其中16篇用于分析.
- 一个病人的病例报告,该病患因LeFort后的复发性倒而经历了重复性缩.
主要成果:
- 重复的囊切除是最常见的重复治疗 (75.0%),显示出良好的短期成功.
- 在2年后,只有1次复发 (直肠结核) 被发现,并成功地用流治疗.
- 其他技术包括围流和逆转的colpocleisis.
结论:
- 科尔波克莱西斯的失败虽然很少见,但由于文献有限,这给管理带来了挑战.
- 重复的结肠杆cleisis似乎是一个有效的选择,在初始的结肠杆cleisis.
- 需要进行更多的长期随访研究,以充分评估结果.
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