文章摘要

前盆腔脏器脱垂的研究进展

作者: 1谢娇, 1宋悦
1 中国医科大学附属盛京医院妇产科,沈阳 110001
通讯: 宋悦 Email: songy@sj-hospital.org
DOI: 10.3978/j.issn.2095-6959.2018.09.036

摘要

前盆腔脏器脱垂病因复杂,脱垂形式多种多样,治疗方式不断改进,且其在各种盆腔脏器脱垂中发病率最高,严重困扰女性日常生活。随着人们对生活质量要求逐渐提高,前盆腔脏器脱垂的研究受到广泛重视。前盆腔脏器脱垂由阴道前壁支持组织的薄弱或损伤所导致,主要与高龄、分娩次数和肥胖有关,临床上主要通过患者的临床表现、脱垂定量(pelvic organ prolapse quantitation, POP-Q)评分及盆底超声等辅助检查来评估病情,诊断时需对中央缺陷与阴道旁缺陷、前膀胱脱垂与后膀胱脱垂进行鉴别,治疗方式包括了手术治疗与非手术治疗,本文将对以上内容进行综述,以期为临床的诊断及治疗提供依据。
关键词: 前盆腔脏器脱垂;发病机制;治疗;超声检查

Advances in pro-pelvic organ prolapse

Authors: 1XIE Jiao, 1SONG Yue
1 Department of Gynaecology and Obstetrics, Shengjing Hospital, China Medical University, Shenyang 110001, China

CorrespondingAuthor: SONG Yue Email: songy@sj-hospital.org

DOI: 10.3978/j.issn.2095-6959.2018.09.036

Abstract

The causes of pro-pelvic organ prolapse are complicated, the prolapse forms are various, the treatment methods are improved, and the incidence rate of pro-pelvic organ prolapse is the highest in the various pelvic organs prolapse, seriously disturbing the daily life of women. With the improvement of living quality, pro-pelvic organ prolapse has been paid more attention. Propelvic organ prolapse is caused by weakness or injury of the anterior vaginal wall supporting tissue, which is mainly related to old age, number of delivery and obesity. Clinically, the condition is mainly evaluated through the clinical manifestation, pelvic organ prolapse quantitation (POP-Q) and ultrasonography. Central defect and paraginal defect, anterior bladder prolapse and posterior bladder prolapse should be identified during diagnosis. Treatment modalities include surgical treatment and non-surgical treatment. This article will review the above contents in order to provide the basis for clinical diagnosis and treatment.
Keywords: pro-pelvic organ prolapse; pathogenesis; treatment; ultrasonography

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