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盆底手术后经阴道补片暴露和疼痛的处理

Authors
John B Gebhart, MD, MS
Emanuel C Trabuco, MD, MS
Section Editor
Linda Brubaker, MD, FACOG
Deputy Editor
Kristen Eckler, MD, FACOG
Translators
樊伯珍, 主任医师

引言

植入合成的阴道补片是为了强化自体组织；然而这些材料可引起很多并发症，包括补片暴露、穿孔或挛缩；盆腔疼痛；性交痛；感染；排尿和排便障碍；以及瘘道形成[1-5]。本专题将讨论阴道补片植入所致补片暴露(侵蚀)和疼痛的诊断与处理。其他类型的补片并发症见其他专题。 (参见“因脱垂与压力性尿失禁经阴道放置网状补片的概述”，关于‘并发症’一节)

补片暴露

临床表现与诊断 — 患者可能出现补片暴露、阴道出血、盆腔疼痛、性交痛或性交时伴侣感到不适[5,6]。有些患者自己能感觉到补片。极少数补片暴露的患者无症状。不同症状的出现率因手术指征(尿失禁 vs 脱垂)、补片的解剖位置(尿道下、阴道前壁、阴道顶端或阴道后壁)以及植入方式(经阴道补片 vs 补片套件)而异。最常见症状的出现率差异很大，但在至少10%的患者必然出现，这些症状包括[1,7-12]：

●盆腔或阴道疼痛

●补片暴露

●性交痛

                    

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Literature review current through: 2017-06 . | This topic last updated: 2016-11-29.
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