自体组织缝合固定手术在女性中盆腔缺陷治疗中的价值

Value of native tissue suturing and fixation in the treatment of female central compartment defect

中盆腔缺陷的修复是盆底修复手术的核心步骤之一,顶端修复可以降低其复发率,还可以纠正大多数旁缺陷。经典的宫骶韧带悬吊术和骶棘韧带悬吊术的并发症发生率分别达16.5%及16.7%。作为金标准术的骶骨固定术因使用网片后陆续出现的并发症,使该手术的普及在国内也受到一定影响。由于盆底解剖的复杂性,顶端修复的重要性,目前仍缺乏理想术式,是长期以来研究的热点。自体组织盆底修复因其有长期的临床观察及其良好的效果验证,在盆底修复手术领域一直占有重要地位。文章探讨了近年来主要的自体组织顶端修复手术在治疗中盆腔缺陷中的价值。

Vaginal vault prolapse repair is one of the core steps of pelvic floor repair surgery.Vault repair can reduce the postoperative recurrence rate and correct most of the paravaginal defects.The serious adverse event rates in the classical uterosacral ligament suspension(ULS)and sacrospinous ligament fixation(SSLF)were 16.5%and 16.7%,respectively.The application of sacral suspension,a standard operation,has been affected in China due to complications after the use of mesh.Due to the complexity of pelvic floor anatomy and the importance of vault repair,there is still a lack of ideal surgery,which has long been a research focus.Native tissue floor repair surgery plays an important role in the field of pelvic floor repair surgery because of its long-term clinical observation and good effect verification.This paper will discuss the value of major native tissue vault repair surgery in the treatment of central compartment prolapse in recent years.