经闭孔尿道中段吊带术后闭孔内外肌深部软组织感染一例报告

A case of tape exposure after transobturator vaginal sling procedure for stress urinary incontinence

经闭孔尿道中段吊带术后远期并发大腿根部内侧感染性肿物的案例较少见。本文报道1例,患者曾因压力性尿失禁行经闭孔尿道中段吊带术,9年后发现右侧大腿根部肿物,伴反复低热,查体可见右侧阴道前壁带状异物残端外露。行右侧大腿根部肿物切除术、阴道前壁吊带部分取出术。术后随访1年,尿控能力较术前无明显变化。

The case of long-term complicated infectious mass on the inner thigh root after transobturator urethral sling is rare.This paper reported a case,who underwent a surgery of the"trans-obturator mid-urethral slings"for stress urinary incontinence 9 years ago.A mass on the root of the right thigh was found 3 months ago,accompanied with low fever.About 1cm tape was exposed on the front wall of the right side of the vagina.The patient underwent resection of the mass on the root of the right thigh and partial removal of the tape under spinal anesthesia.After one year’follow-up,there was no significant change in urinary control ability compared with that before the operation.