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一种使用真皮移植治疗复发性和大型直肠膨出的新型阴道手术。

A new vaginal operation for recurrent and large rectocele using dermis transplant.

作者信息

Oster S, Astrup A

出版信息

Acta Obstet Gynecol Scand. 1981;60(5):493-5. doi: 10.3109/00016348109155466.

DOI:10.3109/00016348109155466
PMID:7030002
Abstract

A new operation for large rectocele is described. The operation combines the method of posterior colporrhaphy with the principles of ventral hernia surgery using a submucosal dermis graft to reinforce the vaginal wall. Fifteen postmenopausal women were examined one to four years after treatment for rectocele with this method. All fifteen patients were cured of their symptoms. Only in one case was the anatomical result less perfect. On proper indications this operation is a good alternative to the existing methods of treating rectocele. The method is not difficult to perform for the surgeon familiar with colporrhaphy, and the operation it no more onerous for the patient than is a simple colporhaphy.

摘要

本文描述了一种针对大型直肠膨出的新手术。该手术将后阴道壁修补术的方法与腹疝手术的原则相结合,使用黏膜下真皮移植来加强阴道壁。15名绝经后女性在采用此方法治疗直肠膨出一至四年后接受了检查。所有15例患者的症状均得到治愈。仅1例的解剖学结果不太理想。在适当的适应症下,该手术是治疗直肠膨出现有方法的良好替代方案。对于熟悉阴道壁修补术的外科医生而言,该方法不难实施,而且对患者来说,该手术并不比简单的阴道壁修补术更麻烦。

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1
A new vaginal operation for recurrent and large rectocele using dermis transplant.一种使用真皮移植治疗复发性和大型直肠膨出的新型阴道手术。
Acta Obstet Gynecol Scand. 1981;60(5):493-5. doi: 10.3109/00016348109155466.
2
[Posterior colpocele with rectocele; its surgical treatment].[伴有直肠膨出的阴道后穹隆膨出;其手术治疗]
Presse Med (1893). 1956 Jun 20;64(49):1145.
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Results of rectocele repair. A prospective study.直肠膨出修补术的结果。一项前瞻性研究。
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Management of the vaginal vault after vaginal hysterecomy. Problem of recurrent rectocele.阴道子宫切除术后阴道穹窿的处理。复发性直肠膨出问题。
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Surgical repair of rectocele and perineal lacerations.直肠膨出和会阴裂伤的手术修复。
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[Long-term review on posterior colporrhaphy with levator ani muscles plication and incorporating a Vypro II mesh].[阴道后壁修补术联合肛提肌折叠及使用Vypro II补片的长期回顾]
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Excellent outcome using selective criteria for rectocele repair.采用选择性标准修复直肠膨出取得了良好效果。
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Use of grafts in pelvic reconstructive surgery.移植物在骨盆重建手术中的应用。
Yonsei Med J. 2007 Apr 30;48(2):147-56. doi: 10.3349/ymj.2007.48.2.147.
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An ambispective observational study in the safety and efficacy of posterior colporrhaphy with composite Vicryl-Prolene mesh.一项关于使用复合薇乔-聚丙烯网片进行阴道后壁修补术安全性和有效性的双向观察性研究。
Int Urogynecol J Pelvic Floor Dysfunct. 2005 Mar-Apr;16(2):126-31; discussion 131. doi: 10.1007/s00192-004-1236-7. Epub 2004 Sep 25.
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Rectocele: pathogenesis and surgical management.直肠膨出:发病机制与外科治疗
Int J Colorectal Dis. 2003 Sep;18(5):369-84. doi: 10.1007/s00384-003-0478-z. Epub 2003 Mar 29.
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Techniques of rectocele repair and their effects on bowel function.直肠膨出修复技术及其对肠道功能的影响。
Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(1):37-47. doi: 10.1007/BF01900540.
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Repair of rectocoele using Marlex mesh.使用Marlex网片修复直肠膨出。
Ann R Coll Surg Engl. 1993 May;75(3):193-4.