顶端悬吊术盆底形位特征及生物力学轴向研究进展

Research advances on pelvic floor deformation characteristics and biomechanical axial in apical suspension

女性盆腔器官脱垂(POP)是由各种原因导致盆底支撑功能损伤或减退,造成盆腔内器官下降移位,从而引发的器官位置及功能异常,主要由经阴道分娩造成的盆底力学支撑结构的损伤,老年盆底力学支撑结构的弹性减退,维持盆底器官形位特征及阴道闭合能力下降所导致。POP手术的关键是对阴道顶端的修复,但以这个理论为基础的治疗方式却无法获得满意的临床治疗效果。本文将从盆底形位特征及盆底生物力学轴向角度对顶端悬吊常见术式治疗中盆腔脱垂进行分析。

Female pelvic organ prolapse(POP)is caused by damage or loss of pelvic floor support,resulting in displacement of the pelvic organs,which leads to abnormalities in the position and function of the organs,mainly due to damage to the pelvic floor mechanical support structures caused by transvaginal birth,loss of elasticity of the pelvic floor mechanical support structures in old women,and loss of the ability to maintain the pelvic floor.The key to POP surgery is the repair of the apical vagina,but treatment based on this theory has failed to achieve satisfactory clinical outcomes.This article will analyze the common procedures of apical suspension in the treatment of mid-pelvic prolapse from the perspective of pelvic floor morphological features and pelvic floor biomechanics axially.