Koduri S, Sand P K
Evanston Continence Center, Northwestern University Medical School, Illinois 60201, USA.
Curr Opin Obstet Gynecol. 2000 Oct;12(5):399-404. doi: 10.1097/00001703-200010000-00009.
Pelvic organ prolapse is a common worldwide problem. Recent advances in our understanding of its pathophysiology, along with progress made in the evaluation and treatment of pelvic support defects, are discussed. Although the pathophysiology of this condition is still not completely understood, genetic factors and environmental factors are involved. Understanding these factors better will help us to approach treatment of pelvic organ prolapse in a more logical manner. Multiple surgical techniques are available for pelvic relaxation, with a wide range of success rates ranging from 77 to 97% for various procedures. New techniques need to be studied further before being incorporated into routine practice. Better standardization of evaluation methods can help in such clinical studies.
盆腔器官脱垂是一个全球性的常见问题。本文讨论了我们对其病理生理学理解的最新进展，以及盆腔支持缺陷评估和治疗方面取得的进展。尽管这种疾病的病理生理学仍未完全明确，但涉及遗传因素和环境因素。更好地理解这些因素将有助于我们以更合理的方式进行盆腔器官脱垂的治疗。有多种手术技术可用于治疗盆腔松弛，各种手术的成功率范围很广，从77%到97%不等。新技术在纳入常规实践之前需要进一步研究。评估方法的更好标准化有助于此类临床研究。
