Loret de Mola J R, Carpenter S E
Department of Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, USA.
Obstet Gynecol Surv. 1996 Apr;51(4):253-60. doi: 10.1097/00006254-199604000-00022.
The presence of genital prolapse in neonates and young women poses a challenging management problem to the gynecologist. Neonatal uterine prolapse is associated with congenital spinal defects, and successful correction has been achieved mainly with simple digital reduction or the use of a small pessary. Uterine prolapse can also occur in young or nulliparous woman who wish to preserve their fertility. Operations using sling, sacral cervicopexy, or transvaginal sacrospinal fixation techniques seem to provide excellent repair for these patients, including the possibility of childbearing. A review of the pathophysiology of genital prolapse in neonates and young women with emphasis on the surgical and nonsurgical options for management is presented.
新生儿和年轻女性出现生殖器脱垂给妇科医生带来了具有挑战性的管理问题。新生儿子宫脱垂与先天性脊柱缺陷有关，主要通过简单的手法复位或使用小型子宫托已成功实现矫正。子宫脱垂也可发生在希望保留生育能力的年轻或未生育女性中。使用吊带、骶骨宫颈固定术或经阴道骶棘韧带固定术进行的手术似乎为这些患者提供了良好的修复效果，包括生育的可能性。本文综述了新生儿和年轻女性生殖器脱垂的病理生理学，重点介绍了管理的手术和非手术选择。
