Scheiner David, Betschart Cornelia, Perucchini Daniele
Klinik für Gynäkologie, UniversitätsSpital Zürich.
Ther Umsch. 2010 Jan;67(1):23-6. doi: 10.1024/0040-5930/a000005.
The pelvic floor as lower closure of the abdominal cavity has to withstand the abdominal pressure. Meanwhile, the pelvic floor has to allow physiologic functions like micturition, defecation, sexual function and reproduction. But while pregnancy and vaginal delivery damage the pelvic floor directly, chronic stress like caugh, heavy lifting, or obesity lead to a chronic overstraining of the pelvic floor. Aging, structural changes, and possibly estrogen deficiency have a negative impact on the pelvic floor.
作为腹腔下封闭结构的盆底必须承受腹腔压力。同时,盆底还必须允许诸如排尿、排便、性功能和生殖等生理功能。然而,怀孕和阴道分娩会直接损害盆底,而咳嗽、重物搬运或肥胖等慢性压力会导致盆底长期过度劳损。衰老、结构变化以及可能的雌激素缺乏都会对盆底产生负面影响。