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有症状盆腔器官脱垂的手术决策：循证方法

Surgical decision making for symptomatic pelvic organ prolapse: evidence-based approach.

作者信息

Jeon Myung Jae

机构信息

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul Korea.

出版信息

Obstet Gynecol Sci. 2019 Sep;62(5):307-312. doi: 10.5468/ogs.2019.62.5.307. Epub 2019 Jul 22.

DOI:10.5468/ogs.2019.62.5.307
PMID:31538073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6737063/
Abstract

Surgery is the mainstay of treatment for symptomatic pelvic organ prolapse (POP), and a variety of procedures can be performed to correct POP. When deciding on the proper surgical procedure, the surgeon must take into consideration the individual patient's risk for surgical complication and prolapse recurrence and her preference. This review will discuss the key issues faced in the surgical decision-making process for POP and recommendations based on the current scientific evidence.

摘要

手术是有症状的盆腔器官脱垂（POP）治疗的主要手段，可采用多种手术方法来矫正POP。在决定合适的手术方法时，外科医生必须考虑个体患者发生手术并发症和脱垂复发的风险以及她的偏好。本综述将讨论POP手术决策过程中面临的关键问题以及基于当前科学证据的建议。

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本文引用的文献

1
Association Between Concomitant Hysterectomy and Repeat Surgery for Pelvic Organ Prolapse Repair in a Cohort of Nearly 100,000 Women.近 10 万名女性队列中子宫切除术与盆腔器官脱垂修复后再次手术的相关性。
Obstet Gynecol. 2018 Dec;132(6):1328-1336. doi: 10.1097/AOG.0000000000002913.
2
Risk factors for the failure of iliococcygeus suspension for uterine prolapse.子宫脱垂行髂尾肌悬吊术失败的危险因素。
Eur J Obstet Gynecol Reprod Biol. 2018 Jun;225:210-213. doi: 10.1016/j.ejogrb.2018.05.001. Epub 2018 May 2.
3
Effect of Uterosacral Ligament Suspension vs Sacrospinous Ligament Fixation With or Without Perioperative Behavioral Therapy for Pelvic Organ Vaginal Prolapse on Surgical Outcomes and Prolapse Symptoms at 5 Years in the OPTIMAL Randomized Clinical Trial.Uterosacral 韧带悬吊术与骶棘韧带固定术联合或不联合围手术期行为疗法治疗盆腔器官阴道脱垂 5 年的手术结果和脱垂症状的影响：OPTIMAL 随机临床试验。
JAMA. 2018 Apr 17;319(15):1554-1565. doi: 10.1001/jama.2018.2827.
4
Uterine preservation vs hysterectomy in pelvic organ prolapse surgery: a systematic review with meta-analysis and clinical practice guidelines.子宫保留与子宫切除术在盆腔器官脱垂手术中的比较：系统评价与荟萃分析及临床实践指南。
Am J Obstet Gynecol. 2018 Aug;219(2):129-146.e2. doi: 10.1016/j.ajog.2018.01.018. Epub 2018 Jan 17.
5
Hysteropreservation versus hysterectomy in the surgical treatment of uterine prolapse: systematic review and meta-analysis.子宫脱垂手术治疗中子宫保留术与子宫切除术的比较：系统评价与荟萃分析
Int Urogynecol J. 2017 Nov;28(11):1617-1630. doi: 10.1007/s00192-017-3433-1. Epub 2017 Aug 5.
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Int J Gynaecol Obstet. 2016 Mar;132(3):284-91. doi: 10.1016/j.ijgo.2015.08.008. Epub 2015 Dec 9.
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Am J Obstet Gynecol. 2016 Jun;214(6):718.e1-8. doi: 10.1016/j.ajog.2015.12.027. Epub 2015 Dec 21.