症狀找原因
依症狀找可能疾病、看病科別及醫師
265
<p></p><div class="pasteContent" style="display:inline;" _ngcontent-c40=""> <p style=" background:white;font-family:"新細明體","serif";margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";"><strong><span style="font-size: 14pt;">婦女尿失禁手術</span></strong></span></p> <br> <p style=" background:white;font-family:"新細明體","serif";margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";"><strong><span style="font-size: 14pt;">台中童綜合醫院</span></strong><span lang="EN-US"><span> </span></span><strong><span style="font-size: 14pt;">泌尿科 呂謹亨醫師</span></strong></span></p> <br> <div class="pasteContent" style="display:inline;" _ngcontent-c40=""> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <meta name="ProgId" content="Word.Document"> <meta name="Generator" content="Microsoft Word 14"> <meta name="Originator" content="Microsoft Word 14"> <link rel="File-List" href="file:///C:\Users\tlogin\AppData\Local\Temp\msohtmlclip1\01\clip_filelist.xml"> <!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--> <link rel="themeData" href="file:///C:\Users\tlogin\AppData\Local\Temp\msohtmlclip1\01\clip_themedata.thmx"> <link rel="colorSchemeMapping" href="file:///C:\Users\tlogin\AppData\Local\Temp\msohtmlclip1\01\clip_colorschememapping.xml"> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:DisplayHorizontalDrawingGridEvery>0</w:DisplayHorizontalDrawingGridEvery> <w:DisplayVerticalDrawingGridEvery>2</w:DisplayVerticalDrawingGridEvery> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>ZH-TW</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:SpaceForUL/> <w:BalanceSingleByteDoubleByteWidth/> <w:DoNotLeaveBackslashAlone/> <w:ULTrailSpace/> <w:DoNotExpandShiftReturn/> <w:AdjustLineHeightInTable/> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:EnableOpenTypeKerning/> <w:DontFlipMirrorIndents/> <w:OverrideTableStyleHps/> <w:UseFELayout/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true" DefSemiHidden="true" DefQFormat="false" DefPriority="99" LatentStyleCount="267"> <w:LsdException Locked="false" Priority="0" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Normal"/> <w:LsdException Locked="false" Priority="9" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="heading 1"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/> <w:LsdException Locked="false" Priority="39" Name="toc 1"/> <w:LsdException Locked="false" Priority="39" Name="toc 2"/> <w:LsdException Locked="false" Priority="39" Name="toc 3"/> <w:LsdException Locked="false" Priority="39" Name="toc 4"/> <w:LsdException Locked="false" Priority="39" Name="toc 5"/> <w:LsdException Locked="false" Priority="39" Name="toc 6"/> <w:LsdException Locked="false" Priority="39" Name="toc 7"/> <w:LsdException Locked="false" Priority="39" Name="toc 8"/> <w:LsdException Locked="false" Priority="39" Name="toc 9"/> <w:LsdException Locked="false" Priority="0" Name="annotation text"/> <w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/> <w:LsdException Locked="false" Priority="10" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Title"/> <w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/> <w:LsdException Locked="false" Priority="11" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/> <w:LsdException Locked="false" Priority="22" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Strong"/> <w:LsdException Locked="false" Priority="20" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/> <w:LsdException Locked="false" Priority="59" SemiHidden="false" UnhideWhenUsed="false" Name="Table Grid"/> <w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/> <w:LsdException Locked="false" Priority="1" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/> <w:LsdException Locked="false" Priority="34" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 2"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 2"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 3"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 3"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 4"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 4"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 4"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 4"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 4"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 5"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 5"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 5"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 5"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 5"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 6"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 6"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/> <w:LsdException Locked="false" Priority="19" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/> <w:LsdException Locked="false" Priority="21" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:新細明體; panose-1:2 2 5 0 0 0 0 0 0 0; mso-font-alt:PMingLiU; mso-font-charset:136; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-1610611969 684719354 22 0 1048577 0;} @font-face {font-family:新細明體; panose-1:2 2 5 0 0 0 0 0 0 0; mso-font-alt:PMingLiU; mso-font-charset:136; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-1610611969 684719354 22 0 1048577 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-536859905 -1073732485 9 0 511 0;} @font-face {font-family:"\@新細明體"; panose-1:2 2 5 0 0 0 0 0 0 0; mso-font-charset:136; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-1610611969 684719354 22 0 1048577 0;} @font-face {font-family:微軟正黑體; panose-1:2 11 6 4 3 5 4 4 2 4; mso-font-charset:136; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:679 684672000 22 0 1048585 0;} @font-face {font-family:"\@微軟正黑體"; panose-1:2 11 6 4 3 5 4 4 2 4; mso-font-charset:136; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:679 684672000 22 0 1048585 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin:0cm; margin-bottom:.0001pt; mso-pagination:none; font-size:12.0pt; mso-bidi-font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:新細明體; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-font-kerning:1.0pt;} p {mso-style-priority:99; mso-margin-top-alt:auto; margin-right:0cm; mso-margin-bottom-alt:auto; margin-left:0cm; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"新細明體","serif"; mso-bidi-font-family:新細明體;} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} /* Page Definitions */ @page {mso-page-border-surround-header:no; mso-page-border-surround-footer:no;} @page WordSection1 {size:612.0pt 792.0pt; margin:72.0pt 90.0pt 72.0pt 90.0pt; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.WordSection1 {page:WordSection1;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:表格內文; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; mso-bidi-font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-font-kerning:1.0pt;} </style> <![endif]--> <!--StartFragment--> <p style=" background:white;margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><b><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";">女人一生中發生<span lang="EN-US"><a href="https://www.facebook.com/hashtag/%E9%AA%A8%E7%9B%86%E5%99%A8%E5%AE%98%E8%84%AB%E5%9E%82?__eep__=6&source=feed_text&epa=HASHTAG&__xts__%5B0%5D=68.ARD1oiiBZ9gjYPXAerMvv0KtgP0S9OvCI7BPYZkxIdg6ygDaEOOTD1oE9MR9am4naxE3s8KiDKC5oQ3IYMY_R3hN5Q3jxOP1HyNjPW-7st1hq_maF3z0dh7aqSFSJrLlA2CUg8LOKv8ObhaAh_Zi_SVO2t9SrJJTpry9qUhBmQG5W8OwSE5EGQfrPj1bRaRqeM3Z6Ejk5Anea1Wd-Q0lLSxeoID-gMNTEV5P1QF4PvipOVXj3yIPeVC9KRyij1vrqUA8PZNejKQGNJjue7eo1j12w3C8YTx0tdaAzIQqB9ts5baQZgOd12DrWgPdjvciGP_62p0XdpAZY6tCYNUEC3g&__tn__=%2ANK-R"><span lang="EN-US" style="color:#333333;text-decoration:none;"><span lang="EN-US">骨盆器官脫垂</span></span></a></span>（<span lang="EN-US">Pelvic Organ Prolapse, POP)</span>的盛行率在<span lang="EN-US">30</span>到<span lang="EN-US">50%</span>，其中又以<span lang="EN-US">60-70</span>歲的女性族群最多，在<span lang="EN-US">80</span>歲前約十分之一的婦女因此而接受手術。最初的常常聽到病人主訴為，感覺到陰道內好像摸到一顆像雞蛋或水球狀突起的東西，台灣因為國情問題，女性心態較為傳統保守，可能隱忍著症狀而沒有就醫，導致臨床上這些病人數不多，其實許多隱藏性的<span lang="EN-US"><a href="https://www.facebook.com/hashtag/%E5%B0%BF%E5%A4%B1%E7%A6%81?__eep__=6&source=feed_text&epa=HASHTAG&__xts__%5B0%5D=68.ARD1oiiBZ9gjYPXAerMvv0KtgP0S9OvCI7BPYZkxIdg6ygDaEOOTD1oE9MR9am4naxE3s8KiDKC5oQ3IYMY_R3hN5Q3jxOP1HyNjPW-7st1hq_maF3z0dh7aqSFSJrLlA2CUg8LOKv8ObhaAh_Zi_SVO2t9SrJJTpry9qUhBmQG5W8OwSE5EGQfrPj1bRaRqeM3Z6Ejk5Anea1Wd-Q0lLSxeoID-gMNTEV5P1QF4PvipOVXj3yIPeVC9KRyij1vrqUA8PZNejKQGNJjue7eo1j12w3C8YTx0tdaAzIQqB9ts5baQZgOd12DrWgPdjvciGP_62p0XdpAZY6tCYNUEC3g&__tn__=%2ANK-R"><span lang="EN-US" style="color:#333333;text-decoration:none;"><span lang="EN-US">尿失禁</span></span></a> </span>及骨盆器官脫垂問題，常常導致反覆泌尿道感染，或是治療效果不佳的急尿或尿失禁。病人的真正致病成因都可能是骨盆腔器官脫垂而未被發現，太晚就醫。<span lang="EN-US"><o:p></o:p></span></span></b></p> <p style=" background:white;margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><b><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";">造成骨盆器官脫垂及應力性尿失禁的原因有很多<span lang="EN-US">, </span>包括了先天異常、年齡、生產、長時間用力、咳嗽、提肛肌無力和神經受傷等等，這些都會造成骨盆器官脫垂和應力性尿失禁。輕微或中等程度的尿失禁可以凱格爾運動或物理治療，包括生理回饋、電刺激或磁波椅來改善骨盆底肌肉功能。對於保守治療無效及嚴重症狀已影響生活品質的患者，可考慮開刀治療。<span lang="EN-US"><o:p></o:p></span></span></b></p> <p style=" background:white;margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><b><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";">近年來由於材料科學的不斷進步，大部分婦女應力性尿失禁和子宮膀胱脫垂手術多以置放人工網膜或吊帶來完成。許多醫療公司的人工網膜已經發展到相當成熟的階段，不論選擇了哪家公司，使用人工網膜的修補手術不外乎是經由陰道或腹腔鏡來固定，透過手術加強對於退化的骨盆底筋膜做強化以及對骨盆腔器官進行懸吊，然而這類手術高，無論是腹腔鏡手術，或是經陰道的手術，需要高度的組織辨認能力，包括骨盆底的肌肉、筋膜韌帶和骨骼，與腹腔鏡縫合實力。<span lang="EN-US"><o:p></o:p></span></span></b></p> <p style=" background:white;margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><b><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";">這幾年來婦女骨盆重建手術蓬勃發展，目前兩大手術的主流是以微創的手術方式經由陰道或腹腔鏡置放人工網膜施行脫垂懸吊手術。經陰道脫垂手術是使用套針直接穿過薦骨棘韌帶<span lang="EN-US">(sacrospinous ligament)</span>，將一片人工網膜置於前側陰道壁內，將膀胱及子宮一併向上懸吊於陰道內的正常位置。若是經由腹部的骨盆重建手術，多採微創腹腔鏡手術進行，甚至達文西機器手臂進行手術<span lang="EN-US">(Robotic surgery)</span>，如腹腔鏡陰道骶骨固定術（<span lang="EN-US">Laparoscopic sacrocolpopexy)</span>使用一片人工網膜固定在子宮頸與骶骨來做懸吊，一般在術後<span lang="EN-US">2</span>天可出院。<span lang="EN-US"><o:p></o:p></span></span></b></p> <p style=" background:white;margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><b><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";">醫師應依照病人的症狀、年齡、健康狀況、解尿、排便及性生活的需求來為每個病人量身訂做最適合的術式，目前文獻上顯示，使用最新材質的人工網膜來做尿失禁或子宮膀胱脫垂手術已是，效果相當好。如果擔心人工網膜帶來的併發症，可以考慮自體筋膜陰道膀胱懸吊手術。<span lang="EN-US"><o:p></o:p></span></span></b></p> <p style=" background:white;margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><b><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";">各式各樣的陰道脫垂需要骨盆重建<span lang="EN-US">(pelvic reconstruction)</span>，手術的目的不僅要回復原有的解剖位置，還要維持器官應有的功能。手術原則為長期效果好、併發症少和恢復快。<span lang="EN-US"><o:p></o:p></span></span></b></p> <p style=" background:white;margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><b><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";">童綜合醫院呂謹亨醫師，在疫情期間完成台灣尿失禁防治協會的進修訓練，接受完整的大體模擬手術訓練課程，針對各種不同型態的骨盆底筋膜退化合併骨盆腔器官脫垂的情況進行手術，達成無語良師的遺願<span lang="EN-US">: </span>寧可在我身上劃遍千刀，不可在病人身上割錯一刀。<span lang="EN-US"> <a href="https://reurl.cc/E7loyK?fbclid=IwAR1k5sl06gY54EUiyWrPH1wQIcau8yVRCmLF7RRnyDM_jSAVzGaFsIARFmA" target="_blank"><span style="color:#333333;text-decoration:none;">https://reurl.cc/E7loyK</span></a><o:p></o:p></span></span></b></p> <p style=" background:white;margin-top:0cm;margin-left:0cm;margin-bottom:4.5pt;"><b><span style=" color:#333333;font-family:"微軟正黑體","sans-serif";">最後，呼籲平時苦於尿失禁、骨盆器官脫垂的患者，包括有陰道異物感、下腹脫垂不適感、急尿、頻尿、解尿不順、下腹酸脹感、甚至反覆感染，都可能是骨盆器官脫垂的問題，歡迎至門診就診與醫師討論及評估接受進一步的治療！<span lang="EN-US"><o:p></o:p></span></span></b></p> <!--EndFragment--> </div></div><br><p></p>
呂謹亨
2020:06:28
醫學新知
依症狀找可能疾病、看病科別及醫師