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盆底疾病手术入路
$70.10
本书是一本非常难得的工具书,适合随时翻阅、反复揣摩,尤其是在临床中碰到疑难复杂病例时,可以在书中得到很有用的信息和帮助。
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本书引进自世界zm的 Springer 出版社,由意大利罗马大学的外科专家 Achille Lucio Gaspari 和 Pierpaolo Sileri 共同编写,主要阐述了盆腔疾病手术入路的相关内容,不仅涵盖了盆底疾病的多学科管理、盆底解剖、盆底疾病的影像学检查、盆底疾病生物反馈训练、肛门直肠功能评价等内容,还对不同手术方法及由此产生的并发症的预防和管理进行了全面介绍。书中所述均从临床实际应用出发,紧密结合盆底疾病的功能方面及病理生理学、诊断评估方面的多学科管理,对盆底疾病的开放性手术和微创手术,以及经会阴技术等日益先进的治疗技术探索出较优结论,启发读者进一步理解及思考,非常适合结直肠外科医生、泌尿外科医生和妇科盆底亚专科相关医生参考阅读。
原著者:
Achille L. Gaspari和Pierpaolo Sileri,意大利罗马Tor Vergata大学,专业实验医学与外科,有着多年的盆底疾病的诊治经验,对盆底疾病的手术入路有独到的见解。
主译:
吴桂珠:同济大学附属妇婴保健院盆底与泌尿妇科主任;
孙秀丽,北京大学人民医院 主任医师,教授,博士研究生导师。从事妇产科临床及科研工作近20年,有丰富的临床经验。
篇 绪 论第 1 章 盆底功能的多学科管理一、概述二、多学科团队的核心成员三、建立盆底疾病多学科团队四、盆底多学科团队的目标五、结论第 2 章 盆底疾病的流行病学一、概述二、盆底疾病的定义、花费和患病率三、盆底功能障碍四、风险因素五、结论第二篇 患者的评估标准第 3 章 盆底解剖一、概述二、骨性骨盆三、肌肉、筋膜及腱膜四、躯体神经五、结论第 4 章 盆底疾病的影像学检查一、概述二、膀胱肛肠造影技术三、磁共振造影技术四、病理发现第 5 章 肛门直肠生理学一、概述二、自制病理生理学三、结论第 6 章 盆底超声学检查一、概述二、超声成像技术三、超声解剖四、临床应用五、讨论第 7 章 肛门直肠功能评估一、概述二、肛门直肠功能的定义三、临床特征四、评分系统五、临床检查六、球囊排出试验七、肛门直肠压力和感觉测定八、肌电图九、阴部神经末梢运动潜伏期十、运动诱发电位十一、肛管腔内超声十二、经会阴动态超声十三、动态排粪造影十四、磁共振成像第三篇 临床表现第 8 章 大便失禁一、概述二、诊断性检查三、治疗四、疗效评估第 9 章 出口梗阻型便秘一、概述二、症状三、病因四、诊断步骤五、治疗六、总结第 10 章 孤立性直肠溃疡综合征与出口梗阻型便秘的常见病理一、概述二、病因学三、病理特征四、临床特征五、诊断六、治疗七、保守治疗八、手术治疗九、总结第 11 章 慢性肛门直肠痛的病理生理、诊断与治疗一、概述二、解剖三、痉挛性肛门疼痛四、慢性特发性肛门疼痛或肛提肌综合征五、尾骨痛六、阴部神经痛七、病因学八、其他病理学和排除性检查九、检查十、多学科方法十一、结论第四篇 保守治疗第 12 章 生物反馈与盆底疾病一、不协调性排便的生物反馈疗法二、大便失禁的生物反馈疗法三、肛门直肠疼痛第 13 章 生物反馈训练与盆底功能锻炼一、概述二、排便梗阻的康复治疗三、大便失禁的康复治疗第五篇 会阴及腹部入路第 14 章 STARR 手术与 TRANSTARR 手术一、概述二、手术适应证和禁忌证三、STARR 四、TRANSTARR 第 15 章 Delorme 手术一、概述二、Delorme 手术三、腔内 Delorme 手术第 16 章 Altemeier 手术治疗直肠外脱垂一、概述二、手术操作三、并发症四、复发五、功能的改善六、与其他手术的比较第 17 章 直肠内脱垂的快速手术方式 一、概述二、患者的选择三、手术技术四、结果五、讨论第 18 章 经会阴直肠前突矫正术一、概述二、治疗前评估三、治疗方案和禁忌证四、手术方式五、总结第 19 章 应用网片的直肠固定术一、概述二、手术技巧三、讨论四、Z后的考虑第 20 章 不用网片的直肠固定术一、概述二、手术入路三、复发性直肠脱垂四、总结第 21 章 腹腔镜下直肠前壁网片悬吊术在直肠脱垂综合征中的应用: 解剖重建与功能恢复一、概述二、LVR 手术 三、LVR 手术治疗效果 四、讨论第 22 章 盆腔器官脱垂悬吊术一、背景二、概述三、外科腹腔镜技术四、初步结果五、结论第六篇 特殊症状第 23 章 手术并发症的预防和处理 一、概述二、大便失禁三、排便梗阻四、结论第 24 章 复发性直肠脱垂的手术治疗一、背景二、术前评估和患者选择三、哪种手术入路对处理复发性脱垂更好四、要点与难点五、总结第 25 章 中盆腔器官脱垂的处理策略一、概述二、中盆腔器官脱垂的病因三、流行病学四、分类五、保守治疗六、经阴道和闭孔手术入路七、经腹入路手术:开腹和微创手术八、同步方法九、总结第 26 章 盆底功能障碍性疾病的治疗:泌尿外科角度一、概述二、保守治疗三、手术治疗第 27 章 合成网片与生物网片在盆底功能障碍性疾病治疗中的应用一、概述二、生物材料三、合成网片四、总结
中文版序近些年,盆底疾病的诊治越来越受到关注,究其原因在于患病人群广、对生活质量影响大、临床诊治中多有争议及新进展。盆底疾病的诊治又有不同于其他疾病的鲜明特色:①多学科交叉;②涉及多个器官功能异常;③病情评估及治疗手段多样性。盆底疾病的诊治离不开肛肠科医生、泌尿科医生和妇产科医生的通力合作。任何一个单独的专科医生都无法很好地治疗此疾病。作 为 Springer 的 盆 底 系 列 丛 书,Pelvic Floor Disorders : Surgical Approach 以多学科视角全面阐述了盆底疾病,在流行病学、动态解剖、病理生理机制、病情全面评估手段及综合治疗等方面,综合文献及作者的经验,做了非常详尽的介绍。本书作者均为有实战经验的临床医生,在治疗措施、手术技巧、并发症的防治等方面给出了非常实用的指导。因此,本书对于从事盆底专业的妇产科医生、肛肠科医生及泌尿外科医生而言,是一本非常难得的工具书,放在手旁,随时翻阅、反复揣摩,尤其是在临床中碰到疑难复杂病例时,可以在此书中得到很有用的信息和帮助。此书翻译质量高,译者为国内从事盆底领域的妇产科、肛肠科及泌尿外科医生,充分体现了盆底疾病的多学科交叉融合性。感谢译者们的辛勤努力,为盆底学界带来一本非常实用的书籍,推荐热衷盆底专业的多个学科医生阅读。北京大学人民医院 王建六
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