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妇科手术中腹膜粘连的发病机制、后果及控制

Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery.

出版信息

Fertil Steril. 2008 Nov;90(5 Suppl):S144-9. doi: 10.1016/j.fertnstert.2008.08.060.

DOI:10.1016/j.fertnstert.2008.08.060
PMID:19007613
Abstract

Postoperative adhesions are a natural consequence of surgical tissue trauma and healing and may result in infertility, pain, and bowel obstruction. Adherence to microsurgical principles, minimally invasive surgery, and use of some peritoneal instillates may help to decrease postoperative adhesions. Some surgical barriers have been demonstrated effective for reducing postoperative adhesions, but there is no substantial evidence that their use improves fertility, decreases pain, or reduces the incidence of postoperative bowel obstruction.

摘要

术后粘连是手术组织创伤和愈合的自然结果,可能导致不孕、疼痛和肠梗阻。遵循显微外科原则、微创手术以及使用一些腹腔灌洗剂可能有助于减少术后粘连。一些手术屏障已被证明对减少术后粘连有效,但没有充分证据表明使用它们能提高生育能力、减轻疼痛或降低术后肠梗阻的发生率。

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Laparoscopic Suturing as a Barrier to Broader Adoption of Laparoscopic Surgery.腹腔镜缝合术成为腹腔镜手术更广泛应用的障碍。
JSLS. 2017 Jul-Sep;21(3). doi: 10.4293/JSLS.2017.00021.
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J Robot Surg. 2017 Jun;11(2):97-109. doi: 10.1007/s11701-017-0682-4. Epub 2017 Feb 14.
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Lipoic acid decreases peritoneal adhesion formation in a rat uterine scar model.硫辛酸可减少大鼠子宫瘢痕模型中腹膜粘连的形成。
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