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盆腔器官脱垂手术治疗术语的联合报告。

Joint Report on Terminology for Surgical Procedures to Treat Pelvic Organ Prolapse.

出版信息

Female Pelvic Med Reconstr Surg. 2020 Mar;26(3):173-201. doi: 10.1097/SPV.0000000000000846.

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)手术较为常见,但需要对手术术语进行标准化,以提高这些手术的调查和临床护理质量。美国妇科泌尿协会和国际妇科泌尿协会联合成立了一个由来自两个协会的 5 名指定人员组成的联合写作小组,旨在对 POP 修复中常见手术术语进行标准化,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、子宫骶骨韧带悬吊术、骶骨棘韧带固定术、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、子宫骶骨固定术、骶骨棘韧带固定术、前腹壁子宫固定术、曼彻斯特手术)、前突手术(包括阴道前修补术、带移植物的阴道前修补术和阴道旁修补术)、后突手术(包括阴道后修补术、带移植物的阴道后修补术、提肛肌折叠术和会阴修补术)和闭塞性脱垂修复术(包括子宫切除术的阴道封闭术、无子宫切除术的阴道封闭术和阴道穹窿的阴道封闭术)。本文档对这些术语进行了明确的定义,包括手术步骤、手术变异和手术术语建议。

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