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子宫肌瘤剔除术中的粘连预防

Adhesion prevention in myomectomy.

作者信息

Pal Bhaskar

机构信息

Senior Consultant, Obstetrics and Gynecology, Apollo Gleneagles Hospital, Kolkata, India.

出版信息

J Gynecol Endosc Surg. 2011 Jan;2(1):21-4. doi: 10.4103/0974-1216.85275.

DOI:10.4103/0974-1216.85275
PMID:22442530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3304280/
Abstract

Adhesions are abnormal fibrous connections, joining tissue surfaces in abnormal locations. Adhesions form after any trauma involving the peritoneum and the injured tissue surface or directly between the injured tissue surfaces. The ideal anti-adhesion agent should be safe, efficacious, easy to use in all types of surgery, and economical. It should prevent adhesions at the site of surgery as well as throughout the peritoneal cavity. Needless to say, the ideal agent is still elusive.

摘要

粘连是异常的纤维连接,在异常位置连接组织表面。任何涉及腹膜和受损组织表面的创伤后,或者在受损组织表面之间直接形成粘连。理想的抗粘连剂应安全、有效、易于在所有类型的手术中使用且经济实惠。它应能防止手术部位以及整个腹腔内形成粘连。不用说,理想的药物仍然难以找到。

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本文引用的文献

1
Barrier agents for adhesion prevention after gynaecological surgery.妇科手术后预防粘连的屏障剂。
Cochrane Database Syst Rev. 2008 Apr 16(2):CD000475. doi: 10.1002/14651858.CD000475.pub2.
2
Adept (icodextrin 4% solution) reduces adhesions after laparoscopic surgery for adhesiolysis: a double-blind, randomized, controlled study.艾考糊精4%溶液(Adept)可减少腹腔镜粘连松解术后的粘连:一项双盲、随机、对照研究。
Fertil Steril. 2007 Nov;88(5):1413-26. doi: 10.1016/j.fertnstert.2006.12.084. Epub 2007 Mar 26.
3
Fluid and pharmacological agents for adhesion prevention after gynaecological surgery.妇科手术后预防粘连的液体和药物制剂
Cochrane Database Syst Rev. 2006 Apr 19(2):CD001298. doi: 10.1002/14651858.CD001298.pub3.
4
Adhesion in gynecology complication, cost, and prevention: a review.妇科疾病中的粘连:并发症、成本及预防综述
Surg Technol Int. 2005;14:185-90.
5
A randomized, prospective, controlled, multicenter clinical trial of a sprayable, site-specific adhesion barrier system in patients undergoing myomectomy.一项针对接受子宫肌瘤切除术患者的可喷雾、部位特异性粘连屏障系统的随机、前瞻性、对照、多中心临床试验。
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A randomized, controlled pilot study of the safety and efficacy of 4% icodextrin solution in the reduction of adhesions following laparoscopic gynaecological surgery.一项关于4%艾考糊精溶液在减少腹腔镜妇科手术后粘连方面安全性和有效性的随机对照试验研究。
Hum Reprod. 2002 Apr;17(4):1031-8. doi: 10.1093/humrep/17.4.1031.
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Evidence-based prevention of post-operative adhesions.基于证据的术后粘连预防
Hum Reprod Update. 2001 Nov-Dec;7(6):577-9. doi: 10.1093/humupd/7.6.577.
8
Fluid dynamics in man of an intraperitoneal drug delivery solution: 4% icodextrin.腹腔内给药溶液(4%艾考糊精)在人体中的流体动力学
Drug Deliv. 2001 Jan-Mar;8(1):9-12. doi: 10.1080/107175401300002694.
9
Use of fibrinolytic agents in the prevention of postoperative adhesion formation.纤维蛋白溶解剂在预防术后粘连形成中的应用。
Fertil Steril. 2000 Aug;74(2):203-12. doi: 10.1016/s0015-0282(00)00656-7.
10
The rates of adhesion development and the effects of crystalloid solutions on adhesion development in pelvic surgery.
Fertil Steril. 1998 Oct;70(4):702-11. doi: 10.1016/s0015-0282(98)00270-2.