带有修改后骨盆重建的T形吊带:带有视频图片的技术说明
Ling Li1,2, Dao-Ming Tian1,2, Xing-Qi Wang1,2
1Pelvic Floor Disorders Diagnosis and Treatment Center, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
概括
一种新的手术技术将独特的吊带与骨盆重建相结合,同时治疗压力尿失禁 (SUI),囊和阴道松. 这种综合方法提供了一个单个阶段的解决方案,用于妇女的综合性解剖和功能恢复.
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:
- 缺乏用于同时应激性尿失禁 (SUI),囊和阴道松的标准化程序.
- 需要整合的手术解决方案来解决多种盆底疾病.
研究的目的:
- 提出一种新的综合性手术方法,用于同时纠正SUI,囊和阴道松.
- 评估这种单阶段程序的可行性和有效性.
主要方法:
- 开发一个定制的反转T形吊带,用于膀部到中尿道悬浮.
- 经过修改后部骨盆重建,使用高强度可吸收的刺刺,用于升降器缩和周围体强化.
- 在患有并发性SUI,II期囊和阴道松的患者中进行单阶段手术纠正.
主要成果:
- 通过MRI证实了成功的解剖修复,显示了在手术后6个月的膀适当重新定位.
- 在24个月的随访期内,SUI症状完全消失,骨盆/骨不适减少.
- 患者报告的性交期间阴道松的显著改善.
结论:
- 这种新的综合性手术技术似乎是一个可行的单阶段解决方案,用于并发性SUI,囊和阴道松.
- 这种方法提供了全面的解剖和功能恢复,有效地解决多种盆地缺陷.
- 扩大的吊带设计和修改后的重建增强了骨盆支,并防止复发.
相关概念视频
01:55Bone Structure
Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.
01:40Bone Remodeling
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
01:23Bone as Supporting Connective Tissue
Bone tissue forms the internal skeleton of vertebrate animals, providing structure to the body.
Bone Matrix
Bone, or osseous tissue, is a connective tissue that has a large amount of two different types of matrix material. The organic matrix is similar to the matrix material found in other connective tissues, including some amount of collagen and elastic fibers. This gives strength and flexibility to the tissue. The inorganic matrix consists of mineral salts— mostly calcium salts— that give the...
Bone Matrix
Bone, or osseous tissue, is a connective tissue that has a large amount of two different types of matrix material. The organic matrix is similar to the matrix material found in other connective tissues, including some amount of collagen and elastic fibers. This gives strength and flexibility to the tissue. The inorganic matrix consists of mineral salts— mostly calcium salts— that give the...
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:31Bone Remodeling and Repair
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...