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

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