腹腔会阴手术矫正结肠癌病历中的生殖道脱垂的经验

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最近的一些研究表明，与标准的腹会阴联合切除术相比，肛提肌外腹会阴联合切除术能提高远端直肠癌的肿瘤学效果。作为肛提肌的切开的结果，会阴形成广泛的缺陷，这需要阴道会阴成形术。在进行肛提肌外腹会阴联合切除术的过程中，形成盆腔隔膜受到影响，因此，经过这种干预，女性有较高的盆腔器官脱垂的风险。这严重影响了生活质量，并导致后续手术治疗的需要。尽管盆腔器官脱垂是手术治疗的结果，肿瘤学家并不认为它是术后长期的并发症。这样的病人不转诊给手术妇科医生。目前对这一问题了解甚少，因此这类患者的盆腔器官脱垂手术治疗尚无标准化的方法。

作者简介

Andrey Plekhanov

Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg Clinical Hospital of the Russian Academy of Sciences; Academy of Medical Education named after F.I. Inozemtsev

编辑信件的主要联系方式.
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-5876-6119
SPIN 代码: 1132-4360

MD, PhD, DSci (Medicine), Professor. The Department of Obstetrics, Gynecology, and Neonatology; Chief Obstetrician-Gynecologist; Head of the Department of Operative Gynecology. Academy of Medical Education named after F.I. Inozemtsev

俄罗斯联邦, Saint Petersburg

Vitaly Bezhenar

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-7807-4929
SPIN 代码: 8626-7555

MD, PhD, DSci (Medicine), Professor, Head of the Department of Obstetrics, Gynecology, and Neonatology

俄罗斯联邦, Saint Petersburg

Alexey Karachun

N .N. Petrov National Medical Research Center of Oncology

Email: dr.a.karachun@gmail.com
ORCID iD: 0000-0001-6641-7229
SPIN 代码: 6088-9313

MD, PhD, DSci (Medicine), Associate Professor, Head of the Surgical Department of Abdominal Oncology, Leading Researcher, Head of the Scientific Department of Gastrointestinal Tract Tumors

俄罗斯联邦, Saint Petersburg

Fyodor Bezhenar

Saint Petersburg Clinical Hospital of the Russian Academy of Sciences

Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0001-5515-8321
SPIN 代码: 6074-5051

MD. The Surgical Department

俄罗斯联邦, Saint Petersburg

Anna Tsypurdeyeva

Saint Petersburg State University; Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0001-7774-2094
SPIN 代码: 5208-9707

MD, PhD, Assistant Professor. The Department of Obstetrics, Gynecology, and Reproductive Sciences, the Faculty of Medicine; Head of the Department of Gynecology with the Operating Unit

俄罗斯联邦, Saint Petersburg

Tatyana Epifanova

Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg Clinical Hospital of the Russian Academy of Sciences

Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0003-1572-1719
SPIN 代码: 5106-9715

MD, Post-Graduate Student The Department of Obstetrics, Gynecology, and Neonatology; Obstetrician-Gynecologist. The Surgical Department

俄罗斯联邦, Saint Petersburg

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