腹腔镜骶骨固定术与其他顶端悬吊术式的比较

向雪冰, 夏志军

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

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

腹腔镜骶骨固定术与其他顶端悬吊术式的比较

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Comparison between laparoscopic sacrocolpopexy and other apical suspension surgery. 

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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。

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.

关键词

盆腔器官脱垂 / 中盆腔缺陷 / 顶端支持 / 手术

Key words

pelvic organ prolapse / middle pelvic defects / apical support / surgery

引用本文

导出引用
向雪冰, 夏志军. 腹腔镜骶骨固定术与其他顶端悬吊术式的比较[J]. 中国实用妇科与产科杂志. 2023, 39(3): 272-276 https://doi.org/10.19538/j.fk2023030105
XIANG Xue-bing, XIA Zhi-jun. Comparison between laparoscopic sacrocolpopexy and other apical suspension surgery. [J]. Chinese Journal of Practical Gynecology and Obstetrics. 2023, 39(3): 272-276 https://doi.org/10.19538/j.fk2023030105
中图分类号: R711.74   

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)

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