无张力阴道吊带放置过程中的出血并发症。

Hemorrhagic complication during placement of tension-free vaginal tape.

作者信息

Huffaker R Keith, Handcock Tyler, Muir Tristi W

机构信息

From the *Quillen Center for Pelvic Surgery and Urogynecology, Department of Obstetrics and Gynecology, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN; †Department of Obstetrics and Gynecology, Scott and White Memorial Hospital and Clinic, Temple; and ‡Section of Female Pelvic Medicine and Reconstructive Surgery, Departmentof Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX.

出版信息

Female Pelvic Med Reconstr Surg. 2010 Nov;16(6):365-7. doi: 10.1097/SPV.0b013e3181fa4366.

DOI:10.1097/SPV.0b013e3181fa4366

PMID:22453624

Abstract

A 66-year-old para III with a 20-year history of stress urinary incontinence underwent placement of tension-free vaginal tape. Intraoperative arterial bleeding occurred. An expanding hematoma was palpated postoperatively. Interventional radiology performed a pelvic arteriogram with selective bilateral internal iliac arteriograms, a supraselective anterior division and obturator arteriogram, a left external iliac arteriogram, coil embolization of a branch of the left obturator artery, and gel foam embolization of the anterior division of the left internal iliac artery.

摘要

一位66岁、有20年压力性尿失禁病史的经产妇接受了无张力阴道吊带置入术。术中发生动脉出血。术后可触及一个不断扩大的血肿。介入放射科进行了盆腔动脉造影及选择性双侧髂内动脉造影、超选择性前干和闭孔动脉造影、左侧髂外动脉造影，对左侧闭孔动脉的一个分支进行了弹簧圈栓塞，并对左侧髂内动脉前干进行了明胶海绵栓塞。