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盆腔器官脱垂的预防与管理

Prevention and management of pelvic organ prolapse.

作者信息

Giarenis Ilias, Robinson Dudley

机构信息

Department of Urogynaecology, King's College Hospital, Denmark Hill London, SE5 9RS UK.

出版信息

F1000Prime Rep. 2014 Sep 4;6:77. doi: 10.12703/P6-77. eCollection 2014.

Abstract

Pelvic organ prolapse is a highly prevalent condition in the female population, which impairs the health-related quality of life of affected individuals. Despite the lack of robust evidence, selective modification of obstetric events or other risk factors could play a central role in the prevention of prolapse. While the value of pelvic floor muscle training as a preventive treatment remains uncertain, it has an essential role in the conservative management of prolapse. Surgical trends are currently changing due to the controversial issues surrounding the use of mesh and the increasing demand for uterine preservation. The evolution of laparoscopic and robotic surgery has increased the use of these techniques in pelvic floor surgery.

摘要

盆腔器官脱垂在女性人群中极为普遍,会损害患者与健康相关的生活质量。尽管缺乏有力证据,但选择性改变产科事件或其他风险因素可能在预防脱垂方面发挥核心作用。虽然盆底肌训练作为预防性治疗的价值仍不确定,但它在脱垂的保守治疗中起着至关重要的作用。由于围绕网片使用的争议问题以及对保留子宫的需求不断增加,目前手术趋势正在发生变化。腹腔镜手术和机器人手术的发展增加了这些技术在盆底手术中的应用。

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