妇科肿瘤手术后盆腔粘连防治的中国专家共识
Chinese expert consensus on the prevention of abdominal pelvic adhesions after gynecological tumor surgeries.
作者信息
Lang Jinghe, Ma Ding, Xiang Yang, Hua Keqin, Liu Kaijiang, Pan Lingya, Wang Ping, Yao Shuzhong, Zhao Fujie, Cheng Wenjun, Cui Manhua, Guo Hongyan, Guo Ruixia, Hong Li, Li Peiling, Liu Mubiao, Meng Yuanguang, Wang Hui, Wang Jianliu, Wang Wuliang, Wu Ming, Yang Xingsheng, Zhang Jun
机构信息
Department of Genecology and Obstetrics, Beijing Union Medical College Hospital, Beijing 100140, China.
Department of Genecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
出版信息
Ann Transl Med. 2020 Feb;8(4):79. doi: 10.21037/atm.2020.02.53.
Adhesion is a postoperative complication that has plagued gynecologists for many years, as 60-90% of gynecological patients develop adhesions after abdominopelvic surgeries. Abdominopelvic adhesions could lead to chronic pelvic pain, infertility, intestinal obstruction, and complicated reoperations. Adhesions might also increase the risk of postoperative chemoradiotherapy failure and endanger patients' lives, especially after surgeries for gynecological malignant tumors. The aim of this consensus was to review the pathogenesis and clinical consequences of adhesions and to summarize various surgical procedures and preventive measures that can reduce the occurrence of adhesions after gynecological tumor surgeries based on a discussion among well-known domestic gynecology specialists.
粘连是一种困扰妇科医生多年的术后并发症，因为60%-90%的妇科患者在腹盆腔手术后会发生粘连。腹盆腔粘连可导致慢性盆腔疼痛、不孕、肠梗阻及复杂的再次手术。粘连还可能增加术后放化疗失败的风险，危及患者生命，尤其是在妇科恶性肿瘤手术后。本共识的目的是回顾粘连的发病机制和临床后果，并在国内知名妇科专家讨论的基础上，总结各种可减少妇科肿瘤手术后粘连发生的手术方法和预防措施。
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