Poma P A
Department of Obstetrics and Gynecology, University of Illinois at Chicago, Illinois, USA.
J Reprod Med. 2000 Oct;45(10):789-97.
The prevalence of genital prolapse increases with age. Because more women are living longer, genital prolapse will become even more common in our daily practices. Currently this complication is treated surgically, and there is minimal information about nonsurgical treatments. The National Library of Medicine was electronically searched for current information about the nonsurgical treatment of genital prolapse. This article summarizes the anatomic basis, the standard nomenclature, common symptoms and nonsurgical treatment of prolapse. Pessaries offer an alternative, even temporarily, to surgical therapy. Some women use a pessary on a long-term basis. There is no evidence in the literature that monthly follow-up improves outcome. Once fitted satisfactorily, women who wear pessaries need to be evaluated every three to six months.
生殖器脱垂的患病率随年龄增长而增加。由于越来越多的女性寿命延长，生殖器脱垂在我们的日常临床中将会变得更加常见。目前，这种并发症通过手术治疗，而关于非手术治疗的信息极少。通过电子检索美国国立医学图书馆，获取有关生殖器脱垂非手术治疗的最新信息。本文总结了脱垂的解剖学基础、标准命名法、常见症状及非手术治疗方法。子宫托为手术治疗提供了一种替代方案，甚至是临时替代方案。一些女性长期使用子宫托。文献中没有证据表明每月随访能改善治疗效果。一旦子宫托佩戴合适，佩戴子宫托的女性需要每三到六个月进行一次评估。
