子宫托的临床应用研究进展

子宫托治疗是一种古老而保守的治疗方式,因其有花费低、损伤小、适用人群广、安全有效、操作简单等诸多优点,在盆腔器官脱垂(pelvic organ prolapse,POP)治疗中得到广泛应用。既往有关子宫托应用的研究主要针对体弱者或老年人POP的保守治疗,现在已拓展应用到压力性尿失禁(stress urinary incontinence,SUI)、宫颈机能不全(cervical incompetence,CI)等与盆底功能障碍(pelvic floor dysfunction,PFD)相关的一些疾病,以及作为诊断隐匿性尿失禁(occult stress urinary incontinence,OSUI)、术前缓解脱垂症状等的辅助手段。随着人口老龄化的加速,PFD患者数量将逐渐增加,子宫托的应用也将更加广泛。现将子宫托的临床应用研究进展综述如下。

The pessary is an ancient and conservative method of treatment. With so many advantages such as low cost, low damage, a wide applicative population, safety and effectiveness, simple operation and so on, the pessary is widely applied in pelvic organ prolapse（ POP）. Previous studies on the application of pessary mainly focused on the conservative treatments of the weak or old patients, however, the pessaries＇ usages have been expanded to some pelvic floor dysfunction（PFD） relevant diseases like stress urinary incontinence（SUI） and cervical incompetence（CI）. Additionally, it served as a supplementary mean to diagnose occult stress urinary incontinence（OSUI） or relief prolapse symptom before surgery. As the population ages, the amount of patients with PFD will increase and the pessaries are bound to be used more widely. Now we summarize the study of pessaries＇ clinical application as followed.