中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2023, Vol. 39 ›› Issue (3): 272-276.DOI: 10.19538/j.fk2023030105

• 专题笔谈 • 上一篇    下一篇

腹腔镜骶骨固定术与其他顶端悬吊术式的比较

  

  1. 1.辽宁省妇幼保健院，辽宁 沈阳 110000；2.中国医科大学附属盛京医院，辽宁 沈阳 110004
  • 出版日期:2023-03-02 发布日期:2023-03-02
  • 通讯作者: 夏志军
  • 基金资助:
    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）

Comparison between laparoscopic sacrocolpopexy and other apical suspension surgery. 

  1. Liaoning Provincial Maternal and Child Health Hospital，Shenyang 110000，China
  • Online:2023-03-02 Published:2023-03-02

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。

关键词: 盆腔器官脱垂, 中盆腔缺陷, 顶端支持, 手术

Abstract: 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.

Key words: pelvic organ prolapse, middle pelvic defects, apical support, surgery

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