Benenden Hospital Trust, Benenden, Kent TN17 4AX, UK.
Best Pract Res Clin Obstet Gynaecol. 2011 Apr;25(2):157-65. doi: 10.1016/j.bpobgyn.2010.11.005. Epub 2010 Dec 15.
Contemporary understanding of the dynamic anatomy of pelvic floor support has lead us to new conservative surgery for the management uterine prolapse. The uterus itself does not play any role in the pathogenesis of uterine prolapse. Therefore, hysterectomy should not be the prime treatment, and fixing of the cervix to strong ligament such as sacrospinous ligament could give a more successful result and conservation of the uterus in young women. Other techniques, such as abdominal mesh hysteropexy or posterior intravaginal slingoplasty with conservation of the uterus, are alternative surgical options.
对盆底支持的动态解剖的现代认识使我们能够采用新的保守手术来治疗子宫脱垂。子宫本身在子宫脱垂的发病机制中不起作用。因此，子宫切除术不应作为主要治疗方法，将子宫颈固定在骶棘韧带等强有力的韧带可以获得更成功的结果，并保留年轻女性的子宫。其他技术，如经腹网片子宫固定术或保留子宫的阴道后吊带成形术，都是可供选择的手术方法。
