经阴道自然腔道内镜下盆底重建术

Transvaginal natural orifice endoscopic pelvic floor reconstruction

盆底器官脱垂作为中老年妇女的常见病,严重影响其生活质量。近年来,对于多部位中重度盆底器官脱垂患者,以合成网片行盆底重建手术发展迅速,修补并重建盆底结构的同时,借助网片恢复盆底的正常解剖和功能,具有很高的主观缓解率和客观治愈率。经阴道自然腔道内镜手术(transvaginal natural orifice transluminal endoscopic surgery,vNOTES)近年来也蓬勃发展,本文结合笔者既往手术经验,对vNOTES在盆底重建手术中的应用进行论述。

Pelvic organ prolapse is a common disease in middle-aged and elderly women,which seriously affects their quality of life.In recent years,pelvic floor reconstruction surgery with synthetic mesh has developed rapidly for patients with moderate to severe pelvic floor organ prolapse in multiple sites,repairing and reconstructing pelvic floor structure while restoring the normal anatomy and function of the pelvic floor with the help of mesh,which has a high subjective remission rate and objective cure rate.Transvaginal natural orifice transluminal endoscopic surgery(vNOTES)has also developed vigorously in recent years,and this article discusses the application of vNOTES in pelvic floor reconstruction surgery based on the author's previous surgical experience.