中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2022, Vol. 38 ›› Issue (5): 495-499.DOI: 10.19538/j.fk2022050105

• 专题笔谈 • 上一篇    下一篇

盆腔器官脱垂手术复发的预防与治疗

  

  1. 中国人民解放军总医院妇产医学部第四医学中心，北京  100048 
  • 出版日期:2022-05-02 发布日期:2022-05-02
  • 通讯作者: 鲁永鲜
  • 基金资助:
    国家重点研发计划（2021YFC2009100）

Prevention and management of recurrent pelvic organ prolapse after surgery. 

  1. Senior Department of Obstetrics & Gynecology，the Fourth Medical Center of PLA General Hospital，Beijing 100048，China 
  • Online:2022-05-02 Published:2022-05-02

摘要： 盆腔器官脱垂（POP）术后的高复发率迫切需要解决。术前对POP程度、部位及患者困扰症状的评价，改善高危因素，正确术式的选择是减少复发的预防措施。保守和手术是复发后的治疗方法，前者可缓解症状和延缓复发POP的进展，后者可解决及纠正复发。POP复发手术困难，应针对复发特点进行个体化设计，必要时需网片加固，并由受过亚专科训练并有丰富临床经验和手术效果好的医生实施

关键词: 盆腔器官脱垂, 手术, 复发, 预防, 治疗

Abstract: There is an urgent need for resolving the high recurrence rate of pevic organ prolaps（POP）after suryery.Severity，location and bother some symptom of POP should be assessed before the surgery. Modifying risk factors and choosing the correct procedures are the preventive measures for reducing the recurrent rate.For the treatment of recurrent POP，there are two methods.One is conservative measures，and the other is surgery.The former can relieve the symptoms and postpone POP progression，and the latter can solve and correct recurrent POP.The operation for recurrent POP is difficult.The individual procedure based on the characteristics of recurrent POP should be designed.The mesh may be needed to reinforce the repairment.Any surgical procedure should be carried out by subspecialty-trained and experienced surgeons with an adequate clinical experience and good results.

Key words: pevic organ prolapse, surgery, recurrence, prevevention, management

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