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关于治疗盆腔器官脱垂手术术语的联合报告

Joint report on terminology for surgical procedures to treat pelvic organ prolapse.

出版信息

Int Urogynecol J. 2020 Mar;31(3):429-463. doi: 10.1007/s00192-020-04236-1.

Abstract

Surgeries for pelvic organ prolapse (POP) are common, but standardization of surgical terms is needed to improve the quality of investigation and clinical care around these procedures. The American Urogynecologic Society and the International Urogynecologic Association convened a joint writing group consisting of 5 designees from each society to standardize terminology around common surgical terms in POP repair including the following: sacrocolpopexy (including sacral colpoperineopexy), sacrocervicopexy, uterosacral ligament suspension, sacrospinous ligament fixation, iliococcygeus fixation, uterine preservation prolapse procedures or hysteropexy (including sacrohysteropexy, uterosacral hysteropexy, sacrospinous hysteropexy, anterior abdominal wall hysteropexy, Manchester procedure), anterior prolapse procedures (including anterior vaginal repair, anterior vaginal repair with graft, and paravaginal repair), posterior prolapse procedures (including posterior vaginal repair, posterior vaginal repair with graft, levator plication, and perineal repair), and obliterative prolapse repairs (including colpocleisis with hysterectomy, colpocleisis without hysterectomy, and colpocleisis of the vaginal vault). Each of these terms is clearly defined in this document including the required steps of the procedure, surgical variations, and recommendations for procedural terminology.

摘要

盆腔器官脱垂(POP)手术很常见,但需要规范手术术语,以提高围绕这些手术的研究质量和临床护理水平。美国泌尿妇科协会和国际泌尿妇科协会召集了一个联合写作小组,每个协会各指定5名成员,旨在规范POP修复中常见手术术语的相关术语,包括以下内容:骶骨阴道固定术(包括骶骨会阴阴道固定术)、骶骨宫颈固定术、子宫骶韧带悬吊术、骶棘韧带固定术、髂尾肌固定术、保留子宫的脱垂手术或子宫固定术(包括骶骨子宫固定术、子宫骶骨子宫固定术、骶棘韧带子宫固定术、前腹壁子宫固定术、曼彻斯特手术)、前壁脱垂手术(包括阴道前壁修补术、带补片的阴道前壁修补术和阴道旁修补术)、后壁脱垂手术(包括阴道后壁修补术、带补片的阴道后壁修补术、提肌折叠术和会阴修补术)以及封闭性脱垂修复术(包括子宫切除术后阴道闭合术、未行子宫切除的阴道闭合术和阴道穹窿闭合术)。本文对每个术语都进行了明确界定,包括手术的必要步骤、手术变异以及手术术语的建议。

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