如何理解经阴道植入网片手术的专家共识

How to understand the expert consensus on transvaginal mesh surgery

近年来,经阴道植入网片(transvaginal mesh,TVM)手术的临床应用价值引起国际学术界的广泛争论。2019年底中华医学会妇产科学分会妇科盆底学组专家对原盆腔器官脱垂(pelvic organ prolapse,POP)诊治草案进行了讨论、更新和完善,形成了新的诊疗指南。全面理解制定本指南的背景及内涵,特别是提高对网片问题由来、TVM手术临床存在的问题及其应用的前景与挑战等关键问题的认知,有助于临床医生在POP防治中做出合理的临床决策。

In recent years,the clinical application value of transvaginal mesh(TVM)surgery has caused widespread controversy in the international academic community.At the end of 2019,experts from the Gynecology and Pelvic Floor Group,Chinese Medical Association Obstetrics and Gynecology Branch,discussed,updated and improved the original pelvic organ prolapse(POP)diagnosis and treatment draft,and formed a new guideline for diagnosis and treatment of POP.A comprehensive understanding of the background and connotation of the development of this guideline,especially the improvement of the awareness of key issues,such as the origin of the mesh problem,the clinical problems of TVM surgery,and the prospects and challenges of its application,will help clinical surgeons to make reasonable clinical decisions in POP management.