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围后的生殖尿道囊:一个病例系列和范围审查

Hunter L Terry¹, Deborah J Shim², Michelle M Doering³

¹From the Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, MO.

Urogynecology (Philadelphia, Pa.)

|April 3, 2025

概括

生殖尿管是一个罕见的妇产科的并发症. 风险因素包括先前的宫手术和麦克唐纳技术,而手术修复是囊膜囊 (VVF) 的首要治疗方法.

科学领域:

产科和妇科产科和妇科
泌尿和妇科泌尿和妇科

背景情况:

生殖尿管,特别是阴囊 (VVF),是产科围后的罕见但严重的并发症.
仅有有限的证据来指导预防和管理这些.

研究的目的:

在 cerclage 放置后描述五个新的 VVF 病例.
评估VVF后循环现有文献,以确定共享特征并为未来研究提出假设.

主要方法:

一个5名VVF患者的病例系列.
对14项研究进行了范围审查,确定了另外19起VVF病例.

主要成果:

发生VVF的患者有宫手术史,宫缩短,以及那些接受麦当劳 cerclage 技术的患者.
在某些情况下,注意到困难的 cerclage 放置和前节点放置.
诊断通过囊镜得到证实,所有VVF都需要手术修复,主要是通过产后的经阴道方法.

结论:

围后的VVF很少见,但与特定的风险因素有关,包括先前的宫手术和麦当劳技术.
如果怀疑膀损伤,通过囊镜进行早期诊断,并且在访问有限的情况下考虑腹腔围圈可能会减轻风险.
患有尿泄漏后的患者应对VVF进行评估,产后手术修复仍然是标准治疗.

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