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经TVT-Secur手术发生的伴有死亡冠损伤的严重出血并发症。

A serious bleeding complication with injury of the corona mortis with the TVT-Secur procedure.

作者信息

Larsson Per-Göran, Teleman Pia, Persson Jan

机构信息

Department of Obstetrics and Gynecology, Kärnsjukhuset, Skaraborgs Hospital, University of Skövde, 54128, Skövde, Sweden.

出版信息

Int Urogynecol J. 2010 Sep;21(9):1175-7. doi: 10.1007/s00192-010-1103-7. Epub 2010 Feb 24.

DOI:10.1007/s00192-010-1103-7
PMID:20179906
Abstract

We report a serious complication following a TVT-Secur procedure due to injury of the corona mortis requiring a surgical intervention for removal of 1 l of clotted blood from the space of Retzius. The corona mortis is an anomaly of the vessel combining the obturator and epigastric arteries passing over the superior pubic ramus, well known to hernia and orthopedic surgeons but probably less well known to gynecological surgeons.

摘要

我们报告了一例经阴道无张力尿道中段悬吊带术（TVT-Secur）后的严重并发症，该并发症是由于死亡冠损伤所致，需要进行手术干预以从耻骨后间隙清除1升凝血块。死亡冠是一种血管变异，它连接闭孔动脉和腹壁下动脉，越过耻骨上支，疝外科医生和骨科医生对此较为熟知，但妇科医生可能了解较少。

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本文引用的文献

1
TVT-secur: a minimally invasive procedure for the treatment of primary stress urinary incontinence. One year data from a multi-centre prospective trial.TVT-secur：一种治疗原发性压力性尿失禁的微创手术。一项多中心前瞻性试验的一年数据。
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Mar;20(3):313-7. doi: 10.1007/s00192-008-0772-y. Epub 2008 Nov 27.
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Perioperative complications and early follow-up with 100 TVT-SECUR procedures.100例经闭孔无张力尿道中段悬吊带术的围手术期并发症及早期随访
J Minim Invasive Gynecol. 2008 Jul-Aug;15(4):480-4. doi: 10.1016/j.jmig.2008.04.006. Epub 2008 Jun 9.
3
Severe bleeding from internal obturator muscle following tension-free vaginal tape Secur hammock approach procedure.
闭孔动脉变异：通过计算机断层血管造影术对300个半骨盆进行的系统研究
Pol J Radiol. 2018 Dec 30;83:e519-e523. doi: 10.5114/pjr.2018.81441. eCollection 2018.
4
Anatomic relation between single-incision slings and the obturator vessels.单切口吊带与闭孔血管之间的解剖关系。
Proc (Bayl Univ Med Cent). 2017 Apr;30(2):154-156. doi: 10.1080/08998280.2017.11929565.
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Endopelvic free anchor minisling technique for stress urinary incontinence treatment: 10 years of experience.盆腔内自由锚定迷你吊带技术治疗压力性尿失禁：10年经验
Int Urogynecol J. 2016 Aug;27(8):1265-72. doi: 10.1007/s00192-016-2958-z. Epub 2016 Feb 10.
6
Efficacy and Safety of Tension-Free Vaginal Tape-Secur Mini-Sling Versus Standard Midurethral Slings for Female Stress Urinary Incontinence: A Systematic Review and Meta-Analysis.无张力阴道吊带术-安全迷你吊带与标准中段尿道吊带治疗女性压力性尿失禁的疗效及安全性：一项系统评价和荟萃分析
Int Neurourol J. 2015 Dec;19(4):246-58. doi: 10.5213/inj.2015.19.4.246. Epub 2015 Dec 28.
7
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Updates Surg. 2014 Mar;66(1):65-8. doi: 10.1007/s13304-013-0245-9. Epub 2014 Jan 5.
8
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Int Urogynecol J. 2013 Dec;24(12):2119-23. doi: 10.1007/s00192-013-2139-2. Epub 2013 Jun 8.
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Int Urogynecol J. 2013 Sep;24(9):1459-65. doi: 10.1007/s00192-012-1998-2. Epub 2012 Dec 4.
10
One-year results of a prospective randomized, evaluator-blinded, multicenter study comparing TVT and TVT Secur.一项比较经闭孔无张力尿道中段悬吊术（TVT）和TVT Secur的前瞻性随机、评估者盲法、多中心研究的一年结果
Int Urogynecol J. 2013 Feb;24(2):223-9. doi: 10.1007/s00192-012-1840-x. Epub 2012 Jun 16.
经无张力阴道吊带术（Secur 吊床法）后闭孔内肌严重出血。
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Nov;19(11):1581-3. doi: 10.1007/s00192-008-0615-x. Epub 2008 Apr 17.
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J Med Assoc Thai. 2005 Sep;88 Suppl 4:S51-3.
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Acta Orthop Scand. 2004 Feb;75(1):53-5. doi: 10.1080/00016470410001708100.