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子宫脱垂患者应如何进行保留子宫的手术以及该手术适用于哪些患者。

How and on whom to perform uterine-preserving surgery for uterine prolapse.

作者信息

Oh Sumin, Jeon Myung Jae

机构信息

Department of Obstetrics and Gynecology, Korea University Guro Hospital, Seoul, Korea.

Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.

出版信息

Obstet Gynecol Sci. 2022 Jul;65(4):317-324. doi: 10.5468/ogs.22003. Epub 2022 Jun 27.

DOI:10.5468/ogs.22003
PMID:35754366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9304435/
Abstract

The demand for uterine preservation in pelvic reconstructive surgery for uterovaginal prolapse is steadily increasing, and several procedures have been introduced, such as sacrospinous hysteropexy, uterosacral hysteropexy, sacrohysteropexy, and hysteropectopexy. However, the benefits and risks of uterine-preserving surgeries are not well understood. This review discusses the current evidence surrounding uterine-preserving surgery for uterovaginal prolapse repair. This may help surgeons and patients have a balanced discussion on how and on whom to perform uterine-preserving surgery.

摘要

盆腔重建手术治疗子宫阴道脱垂时保留子宫的需求正在稳步增加，并且已经引入了几种手术方法，如骶棘韧带子宫固定术、子宫骶骨韧带子宫固定术、骶子宫固定术和子宫悬吊固定术。然而，保留子宫手术的益处和风险尚未得到充分了解。本综述讨论了目前关于子宫阴道脱垂修复保留子宫手术的证据。这可能有助于外科医生和患者就是否以及对谁进行保留子宫手术进行全面的讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/0a77d9ad0c8c/ogs-22003f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/1059c2248ec2/ogs-22003f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/062a354c8805/ogs-22003f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/adb934b1c60d/ogs-22003f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/0a77d9ad0c8c/ogs-22003f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/1059c2248ec2/ogs-22003f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/062a354c8805/ogs-22003f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/adb934b1c60d/ogs-22003f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f8/9304435/0a77d9ad0c8c/ogs-22003f4.jpg

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Obstet Gynecol Sci. 2020 Nov;63(6):719-725. doi: 10.5468/ogs.19075. Epub 2020 Jul 22.
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