中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2021, Vol. 37 ›› Issue (12): 1184-1187.DOI: 10.19538/j.fk2021120103

• 专题笔谈 • 上一篇    下一篇

经典的经阴道自体组织修补术在女性盆腔器官脱垂治疗中价值的再认识

  

  1. 浙江大学医学院附属妇产科医院，浙江 杭州 310006
  • 出版日期:2021-12-02 发布日期:2021-12-02
  • 通讯作者: 谢臻蔚
  • 基金资助:
    国家重点研发计划（2021YFC2009100/04）；浙江省基础公益研究计划（LGF20H040006 ）

Re-recognition of the value of classic transvaginal reconstructive surgery by native tissue in the treatment of female pelvic organ prolapse.

  1. Women's Hospital School of Medicine Zhejiang University，Hangzhou 310006，China
  • Online:2021-12-02 Published:2021-12-02

摘要： 盆腔器官脱垂（pelvic organ prolapse，POP）是由于盆底支撑组织薄弱导致盆腔器官解剖位置下移的一类疾病，通过经阴道手术来加强盆底的支撑力量是严重POP的重要治疗措施。近年来，经阴道网片植入术备受争议，因此经典的经阴道自体组织修补术再次受到关注。充分认识此类手术对解剖复位和功能重建的主客观效果、并发症、复发风险及相关影响因素，将有助于临床医生正确评价和选择精准的治疗POP术式。

关键词: 盆腔器官脱垂, 经阴道自体组织修补术, 治疗价值

Abstract: Pelvic organ prolapse（POP）is downward descending of the pelvic organs due to the weakness of pelvic floor supporting tissues. Transvaginal surgery aimed to strengthen the supporting tissues is a main treatment for severe POP. Due to the controversial use of synthetic mesh in POP patients in recent years，transvaginal reconstructive surgery by native tissue repair has been given attention again. Full understanding of the subjective and objective effects，recurrence risk，complications and related influencing factors of anatomical reduction and functional reconstruction of surgeries will help clinicians in the correct evaluation and selection of anti-POP procedures.

Key words: pelvic organ prolapse, transvaginal reconstructive surgery by native tissue, therapeutic value

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