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阴道支架故障排除:常见问题与解决方案的批判性综述

Troubleshooting Vaginal Stents: A Critical Review of Common Problems and Solutions.

作者信息

Deshmukh Shruti, Priya Madhu, Pisulkar Sweta G, Dubey Surekha A, Beri Arushi, Bansod Akansha, Jain Ritul

机构信息

Prosthodontics, Crown and Bridge, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 7;16(8):e66388. doi: 10.7759/cureus.66388. eCollection 2024 Aug.

DOI:10.7759/cureus.66388
PMID:39246952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11379100/
Abstract

This review aims to examine the use of vaginal stents in clinical practice, specifically for treating vaginal agenesis and related complications and problem associated with vaginal stents. Vaginal agenesis, also known as Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, is a congenital disorder characterized by the uterus not developing or developing only partially. Vaginal stents are medical devices that preserve the structural integrity and patency of the vaginal canal after trauma or surgery. They play an important part in gynecological treatments such as post-radiation therapy, reconstructive surgery, and vaginal stenosis management. The review also discusses the primary applications of vaginal stents, such as preventing adhesions, healing mucosa, and maintaining patency. It also investigates frequent concerns associated with stent use, such as complications and the need for better designs. Vaginal stents are essential in a variety of therapeutic settings, providing major benefits in maintaining vaginal tissue and function. However, their use is fraught with complications, including the risk of infection, discomfort, and the possibility of inappropriate placement.

摘要

本综述旨在探讨阴道支架在临床实践中的应用,特别是用于治疗阴道发育不全及相关并发症以及与阴道支架相关的问题。阴道发育不全,也称为迈耶-罗基坦斯基-库斯特-豪泽(MRKH)综合征,是一种先天性疾病,其特征是子宫未发育或仅部分发育。阴道支架是一种医疗器械,用于在创伤或手术后保持阴道管的结构完整性和通畅性。它们在妇科治疗中发挥着重要作用,如放射治疗后、重建手术和阴道狭窄管理。该综述还讨论了阴道支架的主要应用,如预防粘连、愈合黏膜和保持通畅。它还研究了与支架使用相关的常见问题,如并发症和对更好设计的需求。阴道支架在各种治疗环境中都至关重要,在维持阴道组织和功能方面具有重大益处。然而,其使用充满了并发症,包括感染风险、不适以及放置不当的可能性。

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Troubleshooting Vaginal Stents: A Critical Review of Common Problems and Solutions.阴道支架故障排除:常见问题与解决方案的批判性综述
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本文引用的文献

1
Polycaprolactone-based shape memory foams as self-fitting vaginal stents.基于聚己内酯的形状记忆泡沫作为自适形阴道支架。
Acta Biomater. 2024 Oct 1;187:172-182. doi: 10.1016/j.actbio.2024.08.041. Epub 2024 Aug 28.
2
Customised Vaginal Stent-The Phases in Management of Vaginal Agenesis in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome.定制阴道支架——迈耶-罗基坦斯基-库斯特-豪泽综合征(MRKH综合征)阴道发育不全管理的各个阶段
J Family Reprod Health. 2023 Mar;17(1):54-57. doi: 10.18502/jfrh.v17i1.11978.
3
Systematic Review of Comparisons Between Plastic and Silicone Dilators: Revealing a Knowledge Gap.系统评价比较塑料和硅胶扩张器:揭示知识差距。
Sex Med Rev. 2022 Oct 1;10(4):513-519. doi: 10.1016/j.sxmr.2022.06.008.
4
Recent Advances in Polymer-Based Vaginal Drug Delivery Systems.基于聚合物的阴道给药系统的最新进展
Pharmaceutics. 2021 Jun 15;13(6):884. doi: 10.3390/pharmaceutics13060884.
5
The mother of invention-introduction of a novel inflatable stent for McIndoe neovagina.发明之母——一种用于麦金多新阴道的新型充气支架的介绍
Fertil Steril. 2021 Mar;115(3):613-614. doi: 10.1016/j.fertnstert.2021.01.001.
6
Diagnostic Methods for Vaginal Stenosis and Compliance to Vaginal Dilator Use: A Systematic Review.阴道狭窄的诊断方法和阴道扩张器使用依从性:系统评价。
J Sex Med. 2021 Mar;18(3):493-514. doi: 10.1016/j.jsxm.2020.12.013. Epub 2021 Jan 29.
7
Creation of a novel inflatable vaginal stent for McIndoe vaginoplasty.发明一种新型充气式阴道支架用于 McIndoe 阴道成形术。
Fertil Steril. 2021 Mar;115(3):804-806. doi: 10.1016/j.fertnstert.2020.09.030. Epub 2020 Dec 4.
8
Microbiota and Malodor-Etiology and Management.微生物群与异味——病因与管理。
Int J Mol Sci. 2020 Apr 20;21(8):2886. doi: 10.3390/ijms21082886.
9
Vaginal Dilators: Issues and Answers.阴道扩张器:问题与解答
Sex Med Rev. 2021 Apr;9(2):212-220. doi: 10.1016/j.sxmr.2019.11.005. Epub 2020 Jan 31.
10
Clinical pilot study to evaluate the neovaginal PACIENA prosthesis® for vaginoplasty without skin grafts in women with vaginal agenesis.临床初步研究评估用于阴道成形术的 PACIENA 阴道假体(®),该手术无需进行皮片移植,适用于阴道发育不全的女性。
BMC Womens Health. 2019 Nov 26;19(1):144. doi: 10.1186/s12905-019-0841-z.