无张力阴道吊带手术后出现膀胱穿孔表现为外阴水肿。一例病例报告。
Bladder perforation presenting as vulvar edema after the tension-free vaginal tape procedure. A case report.
作者信息
Tseng Ling-Hong, Lo Tsia-Shu, Wang Alex C, Liang Ching-Chung, Soong Yung-Kwei
机构信息
Division of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University College of Medicine, Taoyuan, Taiwan, R.O.C.
出版信息
J Reprod Med. 2003 Oct;48(10):824-6.
BACKGROUND
Bladder perforation during the tension-free vaginal tape (TVT) procedure is a common complication.
CASE
Vulvar edema was noted 4 hours after application of TVT, and cystoscopy revealed bladder perforation. The patient had a history of a previous vaginal hysterectomy with anterior colporrhaphy.
CONCLUSION
To our knowledge, this is the first case report of vulvar edema following TVT. Bladder filling to 250 mL, 70 degrees cystoscopy, good skills in cystoscopy and familiarity with retropubic anatomy are key issues for the TVT procedure. A cystoscopic examination before the TVT procedure should be considered for patients with previous pelvic surgery.
背景
无张力阴道吊带术（TVT）过程中膀胱穿孔是一种常见并发症。
病例
应用TVT术后4小时发现外阴水肿，膀胱镜检查显示膀胱穿孔。该患者既往有阴道子宫切除术及阴道前壁修补术病史。
结论
据我们所知，这是TVT术后外阴水肿的首例病例报告。膀胱充盈至250 mL、70度膀胱镜检查、良好的膀胱镜操作技能以及熟悉耻骨后解剖结构是TVT手术的关键问题。对于既往有盆腔手术史的患者，应考虑在TVT手术前进行膀胱镜检查。
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