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Updated: Jan 31, 2026

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V-NOTES高子宫关节悬浮和双侧切除术在尿道实时可视化下使用绿色氨酸的尿道
Stefano Scarperi1, Stefano Ferla2, Diego Raimondo3
1Division of Gynaecology and Obstetrics (B), Azienda Ospedaliera Universitaria Integrata di Verona, Italy; Dipartimento ad attività integrata materno-infantile, Verona, Italy.
Journal of minimally invasive gynecology
|January 29, 2026
概括
经阴道自然孔透光内镜手术 (vNOTES) 为骨盆器官脱落修复提供了一种微创的方法. 这项研究证明了vNOTES高子宫关节悬浮与双边附带切除术的可行性,通过实时尿路可视化提高了安全性.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 最少侵入性的手术
- 手术创新 在外科创新.
背景情况:
- 经阴道自然孔透光内镜手术 (vNOTES) 结合了阴道手术的好处与增强的内镜能力.
- 泌尿外科手术面临的挑战是下尿路损伤,特别是膀和尿道损伤.
- 高子宫关节悬浮 (HUS) 对于在骨盆器官脱落 (POP) 中的顶部支持至关重要.
研究的目的:
- 通过vNOTES方法评估执行HUS和双边切除术的可行性和安全性.
- 评估在vNOTES手术期间用绿色氨酸 (ICG) 进行手术内尿道可视化的实用性.
- 展示一种新的技术,用于在POP管理中提供尖端支持.
主要方法:
- 一个逐步演示的vNOTES HUS和双边附带切除技术使用叙述视频录像.
- 在手术期间,用绿色氨酸 (ICG) 注射实现了尿路视觉化.
- 这项手术是在一个63岁的妇女身上进行的,该妇女有症状的骨盆器官脱落 (POP-Q:II阶段).
主要成果:
- 双边切除术的vNOTES HUS在24分钟内完成,血液损失最小.
- 印ocyanine绿色可视化成功地确定了尿道的盆腔路径,防止在位放置期间扭曲.
- 该技术允许清晰识别子宫带和相邻结构,避免盲目机动.
结论:
- 实时ICG注射技术上是可行的,安全的和可复制的,用于顶端POP修复.
- 通过ICG进行手术内尿路可视化,通过预防尿路损伤和确认通透性,提高了安全性.
- 这种方法提供了更好的可视化,并降低了泌尿外科手术并发症的风险.
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