盆底疝的发病特点及治疗现状

Clinical features and treatment status of pelvic floor hernia

盆底疝(pelvic floor hernia)从解剖部位及疝内容物可以分为:坐骨孔疝(ischiatic hernia)、闭孔疝(obturator hernia)、会阴疝(perineal hernia)、盆底腹膜疝(peritoneo-cele)。主要表现为盆腔疼痛、下坠感、性功能障碍、尿失禁、排便不尽感,以及盆腔器官脱垂。临床上盆底疝主要采用传统张力性缝合修补和人工合成材料疝修补的手术方法,临床应用虽广泛,但有诸多不足。近年来,应用生物材料补片修复盆底疝已逐渐成为临床应用趋势和研究热点。

Based on the anatomical site and the hernia contents, pelvic floor hernia can be divided into： ischiatic hernia, obturator hernia, peritoneo-cele and perineal hernia. The main manifestations were pelvic pain, sexual dysfunction, urinary incontinence, poor stool and pelvic organ prolapse. Pelvic floor hernia was mainly treated by traditional tension suture and synthetic materials repair. Although the techniques were widely used in clinic, there were many deficiencies. Recently, the application of biomaterials mesh to repair pelvic hernia has aroused general interest and become clinical application trends.