盆腔脏器脱垂(POP)是中老年女性常见的良性疾病,对于重度POP患者手术是有效的治疗手段,盆底手术日益发展术式繁多,不同术式各有利弊。新术式新材料的不断出现,新并发症也随之而来。近年来网片修补术后不良事件增多,自体修补术受到广泛关...盆腔脏器脱垂(POP)是中老年女性常见的良性疾病,对于重度POP患者手术是有效的治疗手段,盆底手术日益发展术式繁多,不同术式各有利弊。新术式新材料的不断出现,新并发症也随之而来。近年来网片修补术后不良事件增多,自体修补术受到广泛关注,本文综述了重度盆腔脏器脱垂的自体修补术的研究进展,旨在为临床提供更为安全有效的治疗策略。Pelvic organ prolapse (POP) is a common benign condition in middle-aged and older women. Surgery is an effective way to treat patients with severe pelvic organ prolapse, pelvic floor surgery is growing with a wide range of procedures, all of which have advantages and disadvantages. New complications arise with the advent of new procedures and materials. The increase in adverse events after mesh repair in recent years has led to an increased concerns about autologous tissue repair. This article reviews the research progress of autologous repair of severe pelvic organ prolapse, aiming to provide safer and more effective treatment strategy for the clinic.展开更多
目的探讨肛提肌未发生撕脱时,盆腔脏器脱垂(pelvic organ prolapse,POP)的初产妇肛提肌裂孔形态是否发生异常改变。方法收集经阴道分娩且肛提肌未发生撕脱的初产妇107例,出现POP的65例为POP组,未出现POP的42例为对照组。应用经会阴4D盆...目的探讨肛提肌未发生撕脱时,盆腔脏器脱垂(pelvic organ prolapse,POP)的初产妇肛提肌裂孔形态是否发生异常改变。方法收集经阴道分娩且肛提肌未发生撕脱的初产妇107例,出现POP的65例为POP组,未出现POP的42例为对照组。应用经会阴4D盆底超声采集在静息、最大瓦氏状态下两组初产妇肛提肌裂孔形态参数:肛提肌裂孔前后径(LHAP)、肛提肌裂孔左右径(LHLD)、肛提肌裂孔周径(LHC)、肛提肌裂孔面积(LHA)。结果静息状态下POP组及对照组LHAP、LHLD、LHC、LHA比较,差异无统计学意义(P>0.05);最大瓦氏状态下POP组的LHAP、LHLD、LHC、LHA较对照组均增大,差异有统计学意义(P<0.05),当最大瓦氏状态下LHA>18.84 cm^(2),诊断初产妇发生POP的敏感度为73.8%,特异度95.2%,AUC为0.912。结论肛提肌未撕脱的初次经阴道分娩的POP产妇也会发生肛提肌损伤。4D盆底超声下肛提肌裂孔形态的改变可反映肛提肌有无损伤及损伤程度,尤其最大瓦氏状态下肛提肌裂孔的面积与POP相关性很好。展开更多
文摘盆腔脏器脱垂(POP)是中老年女性常见的良性疾病,对于重度POP患者手术是有效的治疗手段,盆底手术日益发展术式繁多,不同术式各有利弊。新术式新材料的不断出现,新并发症也随之而来。近年来网片修补术后不良事件增多,自体修补术受到广泛关注,本文综述了重度盆腔脏器脱垂的自体修补术的研究进展,旨在为临床提供更为安全有效的治疗策略。Pelvic organ prolapse (POP) is a common benign condition in middle-aged and older women. Surgery is an effective way to treat patients with severe pelvic organ prolapse, pelvic floor surgery is growing with a wide range of procedures, all of which have advantages and disadvantages. New complications arise with the advent of new procedures and materials. The increase in adverse events after mesh repair in recent years has led to an increased concerns about autologous tissue repair. This article reviews the research progress of autologous repair of severe pelvic organ prolapse, aiming to provide safer and more effective treatment strategy for the clinic.
文摘目的探讨肛提肌未发生撕脱时,盆腔脏器脱垂(pelvic organ prolapse,POP)的初产妇肛提肌裂孔形态是否发生异常改变。方法收集经阴道分娩且肛提肌未发生撕脱的初产妇107例,出现POP的65例为POP组,未出现POP的42例为对照组。应用经会阴4D盆底超声采集在静息、最大瓦氏状态下两组初产妇肛提肌裂孔形态参数:肛提肌裂孔前后径(LHAP)、肛提肌裂孔左右径(LHLD)、肛提肌裂孔周径(LHC)、肛提肌裂孔面积(LHA)。结果静息状态下POP组及对照组LHAP、LHLD、LHC、LHA比较,差异无统计学意义(P>0.05);最大瓦氏状态下POP组的LHAP、LHLD、LHC、LHA较对照组均增大,差异有统计学意义(P<0.05),当最大瓦氏状态下LHA>18.84 cm^(2),诊断初产妇发生POP的敏感度为73.8%,特异度95.2%,AUC为0.912。结论肛提肌未撕脱的初次经阴道分娩的POP产妇也会发生肛提肌损伤。4D盆底超声下肛提肌裂孔形态的改变可反映肛提肌有无损伤及损伤程度,尤其最大瓦氏状态下肛提肌裂孔的面积与POP相关性很好。
