摘要
随着社会老龄化的进一步加重及人们生活质量的进一步提高,盆腔器官脱垂(POP)的发病率及就诊率也逐渐增高。中盆腔缺陷是阴道顶端支持结构缺陷,以子宫或阴道穹隆脱垂以及肠膨出、穹隆疝形成为主要特征,是POP中的常见类型。治疗中盆腔缺陷的手术方式众多,主要有骶骨固定术、宫骶韧带悬吊术、骶棘韧带固定术、曼式手术和经阴道网片置入手术等。文章对纠正中盆腔缺陷的各类术式进行了综合分析与比较。
With the aggravation of the aging society and the further improvement of people's life quality,the incidence of POP and the rate of consultation have gradually increased.Middle pelvic defect is a defect in the apical support structure of the vagina.It is characterized by uterine or vaginal vault prolapse,enterocele and vault herniation,and is a common type in POP.There are many surgical methods for the treatment of pelvic defects,mainly including sacrocolpopexy(SC)、uterosacral ligament suspension(USLS)、sacrospinous ligament fixation(SSLF),Manchester-Fothergill procedure(MF),and transvaginal mesh surgery(TVM),etc.This paper aims to make a comprehensive analysis and comparison of various surgical methods for middle pelvic defects.
作者
向雪冰
夏志军
XIANG Xue-bing;XIA Zhi-jun(Liaoning Provincial Maternal and Child Health Hospital,Shenyang 110000,China;不详)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2023年第3期272-276,共5页
Chinese Journal of Practical Gynecology and Obstetrics
基金
辽宁省“兴辽英才计划”项目(XLYC1902102)
国家重点研发计划(2021YFC2701300,2021YFC2701302)
2022年辽宁省自然科学基金(1645774641188)。
关键词
盆腔器官脱垂
中盆腔缺陷
顶端支持
手术
pelvic organ prolapse
middle pelvic defects
apical support
surgery
