【喜讯】城口县妇幼保健院成功开展盆底重建术，为患者带来福音！ ...
<section style="background-color: rgb(230, 228, 223); padding: 0px; letter-spacing: 2px; line-height: 2; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; visibility: visible;"><section style="color: rgb(120, 149, 163); font-size: 14px; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; box-sizing: border-box; visibility: visible;"><section style="display: inline-block; width: 23px; vertical-align: top; flex: 0 0 auto; height: auto; align-self: flex-start; box-sizing: border-box; visibility: visible;"><section style="margin: 0px 0% 8px; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><section style="background-color: rgb(120, 149, 163); height: 3px; box-sizing: border-box; visibility: visible;"><br></section></section></section></section></section><section style="color: rgb(120, 149, 163); font-size: 14px; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><section style="margin: 0px 0% 10px; text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; box-sizing: border-box; visibility: visible;"><section style="display: inline-block; width: 90%; vertical-align: top; background-color: rgb(255, 255, 255); border-width: 1px; border-style: solid; border-color: rgb(120, 149, 163); border-radius: 0px; flex: 0 0 auto; height: auto; align-self: flex-start; box-sizing: border-box; visibility: visible;"><section style="color: rgb(120, 149, 163); text-align: justify; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"> 近日，我院妇科成功首次开展3例经阴道盆底重建术，为子宫脱垂、膀胱脱垂、直肠脱垂和尿失禁的患者带来福音！</span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"> 3位患者因发现外阴脱出物数月并因脱垂严重影响生活质量来院就诊，要求手术治疗。考虑患者年纪较大，县外就医不便，我院妇科主任熊兴令积极与重庆市妇幼保健院盆底肿瘤科刘禄斌主任取得联系，刘主任安排科室赵成志副主任医师给予我院妇科技术支援。</span></p></section><section style="margin-top: 10px; margin-bottom: 10px; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; box-sizing: border-box; visibility: visible;"><div style="text-align:center"></div></section></section><section style="color: rgb(120, 149, 163); text-align: justify; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"></span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"> 经过长途奔波，赵成志副主任医师到达医院后与我院妇科熊兴令主任立即组织查房、制定手术方案，经过仔细查体发现，3位患者分别有重度子宫脱垂、阴道前后壁脱垂、膀胱脱垂，考虑3位患者均年纪较大，其中两位婆婆合并症多，手术时间不宜过长、手术范围不宜过大，与其患者本人及家属详细沟通后建议行经阴道全盆底功能重建术。</span></p></section><section style="color: rgb(120, 149, 163); text-align: justify; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"> </span><span style="color: rgb(32, 29, 29); text-size-adjust: 100%; box-sizing: border-box; visibility: visible;"> 术前麻醉科对3位患者身体状态进行了详细评估，赵成志副主任医师主持了术前讨论，就手术方式、风险、替代处理措施、术后注意事项及随访等制定了详细方案。</span><br style="box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"></span></p></section><section style="margin-top: 10px; margin-bottom: 10px; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; box-sizing: border-box; visibility: visible;"><div style="text-align:center"></div></section></section><section style="margin-top: 10px; margin-bottom: 10px; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; box-sizing: border-box; visibility: visible;"><div style="text-align:center"></div></section></section><section style="color: rgb(120, 149, 163); text-align: justify; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"> </span><span style="color: rgb(32, 29, 29); text-size-adjust: 100%; box-sizing: border-box; visibility: visible;">术中， 因其中1例脱垂部位多、脱垂程度严重，手术操作难度增加，但通过赵成志副主任医师和熊主任精湛的技术操作，仅在1小时余顺利完成了手术，另两位患者手术仅半小时完成。术后患者恢复良好，术后第3天平稳出院，现术后半月随访，均恢复良好。</span><br style="box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"></span></p></section><section style="margin-top: 10px; margin-bottom: 10px; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; box-sizing: border-box; visibility: visible;"><div style="text-align:center"></div></section></section><section style="color: rgb(120, 149, 163); text-align: justify; box-sizing: border-box; visibility: visible;" powered-by="xiumi.us"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; visibility: visible;"><span style="color: rgb(32, 29, 29); box-sizing: border-box; visibility: visible;"> 我院盆底重建术的开展，填补了我县盆底重建手术的空白，不仅为患者解决了痛苦，同时也标志了城口县妇科医疗手术水平迈上了新的台阶。同时，我院与重庆市妇幼保健院盆底医学专科联盟，构成长期医联体关系，这将使患者在我院即可享受到三甲医院专家的诊疗服务，切实解决了高龄妇科患者就医不便的问题。</span></p></section><section style="box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: right;justify-content: flex-end;transform: translate3d(-26px, 0px, 0px);margin: 20px 0% -10px;display: flex;flex-flow: row nowrap;box-sizing: border-box;"><section style="display: inline-block;width: 55%;vertical-align: top;flex: 0 0 auto;height: auto;align-self: flex-start;box-sizing: border-box;"><section style="margin: 0.5em 0px;box-sizing: border-box;" powered-by="xiumi.us"><section style="background-color: rgb(120, 149, 163);height: 1px;box-sizing: border-box;"><section><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section></section><section style="text-align: justify;box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><br style="box-sizing: border-box;"></p></section></section></section></section><section style="color: rgb(120, 149, 163); font-size: 14px; transform-origin: center center; margin-top: 0px; margin-bottom: 0px; box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: right;margin: -40px 0px -20px;justify-content: flex-end;box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 35%;height: auto;box-sizing: border-box;"><div style="text-align:center"></div></section></section></section><section style="color: rgb(120, 149, 163); font-size: 14px; box-sizing: border-box;" powered-by="xiumi.us"><section style="margin: 0px 0% 10px;text-align: center;justify-content: center;display: flex;flex-flow: row nowrap;box-sizing: border-box;"><section style="display: inline-block;width: 90%;vertical-align: top;background-color: rgb(255, 255, 255);border-width: 1px;border-style: solid;border-color: rgb(120, 149, 163);border-radius: 0px;flex: 0 0 auto;height: auto;align-self: flex-start;box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;box-sizing: border-box;" powered-by="xiumi.us"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;box-sizing: border-box;"><div style="text-align:center"><br></div></section></section><section style="color: rgb(32, 29, 29);text-align: justify;box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;">1、什么是盆腔器官脱垂？</p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"> 由于盆底肌肉和筋膜组织薄弱造成的盆腔器官下降而引发的器官位置及功能异常，主要症状为阴道口组织物脱出，可伴有排尿、排便和性功能障碍，不同程度的影响患者的生命质量。</p></section><section style="margin-top: 10px;margin-bottom: 10px;box-sizing: border-box;" powered-by="xiumi.us"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;box-sizing: border-box;"><div style="text-align:center"></div></section></section><section style="color: rgb(32, 29, 29);text-align: justify;box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;">2、 什么是盆底重建？</p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"> 盆底重建手术指征主要是盆底肌力减弱、盆腔脏器脱垂比如子宫脱垂、阴道前后壁的膨出以及产后出现尿失禁或者产后性生活质量下降、产后排便的异常、尿潴留等。</p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><span style="box-sizing: border-box;">盆底重建手术是指通过手术来恢复盆底正常的解剖结构和功能、缓解盆底功能障碍导致的症状，比如阴道前后壁的膨出、子宫的脱垂、压力性的尿失禁等等。手术的方式根据患者的年龄、生育要求、全身状况有不同的选择。</span></p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><br></p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><span style="box-sizing: border-box;">3、 什么是网片？</span></p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><span style="box-sizing: border-box;">TiLOOP®钛化物聚丙烯修补网是通过经编工艺制成的网状物，由聚丙烯单纤维丝和钛元素共价结合构成，在低温真空下通过PACVD（等离子体化学气相沉积法）工艺将四（二甲基氨）钛与聚丙烯基体共价结合。聚丙烯中含有钛，表面钛含量最高，表面钛离子覆盖厚度为30纳米。超轻质密度可达16g/m²，是世界最轻的修补网。</span></p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><br></p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><span style="box-sizing: border-box;">4、 网片会被吸收吗？</span></p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><span style="box-sizing: border-box;">网片不会被吸收。它很轻质，柔软，像丝袜一样，也更像一个柔性的支架。它会和我们的身体的组织贴附在一起，为我们受损的肌肉、韧带提供更好的支持。</span></p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"><br></p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;">5、术中需要放置网片的数量</p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"> 一般是一片，有时候二片，医生会根据每个人的脱垂程度，选择不同尺寸的网片，并进行不同形状的裁剪，供术中使用。</p></section><section style="margin-top: 10px;margin-bottom: 10px;box-sizing: border-box;" powered-by="xiumi.us"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;box-sizing: border-box;"><div style="text-align:center"></div></section></section><section style="color: rgb(32, 29, 29);text-align: justify;box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"> 6、术后注意事项</p><p style="white-space: normal;margin: 0px;padding: 0px;box-sizing: border-box;"> 绝大部分的患者可以达到治愈的效果，但是盆底功能障碍原因复杂，术后还要注意治疗慢性咳嗽、便秘，并做到定期复查。</p></section></section></section></section><section style="line-height: 2; letter-spacing: 2px; text-align: left; box-sizing: border-box;" powered-by="xiumi.us"><p style="margin: 0px 0px 2px; padding: 0px; box-sizing: border-box;"><font size="1" style="" color="#696969">来源：城口县妇幼保健院</font></p></section></section>
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