摘要
女性盆底功能障碍性疾病(pelvic floor dysfunction,PFD)是各种原因导致的盆底支撑结构功能障碍从而引起盆腔脏器脱垂的一系列疾病。随着中国步入老龄化社会,PFD发病率呈逐年升高趋势,严重影响老年女性的生活质量,并容易引起精神、心理方面的问题。目前,手术是中重度PFD患者的首选治疗方案。PFD手术历史悠久、术式繁多,随着医学新材料新技术的发展,手术理念的更新,新的PFD术式不断改进,从阴式手术到腹腔镜手术,从自体组织修补到合成网片的全盆底重建,手术成功率明显提高,但新的技术和材料同时也带来了新的并发症。手术的多样化虽然给了患者更多的选择,但不同术式各有利弊,患者亦有个体化差异,因此需要根据患者的年龄、症状、体征、病史、生活习惯、性生活需求、全身状况等情况综合考虑,充分沟通,力求选择适当的手术方案,以达到最好的治疗效果。
Female pelvic floor dysfunction (PFD) is a series of disease of pelvic organ prolapse secondary to pelvic floor support structure dysfunction with a variety causes. With China′s aging society, the prevalence of PFD is increasing. It not only affects the quality of life in elderly women, but also cause the mental and psychological disorders. For the patients with moderate or severe PFD, surgical treatment is the first choice at present. PFD surgery has a long history and various operations. With the development of new medical materials and technologies and updated surgical concepts, many surgical methods have been continuously improved. From vaginal surgery to laparoscopic surgery, from autologous tissue repair to the reconstruction of the entire pelvic floor with synthetic mesh, the success rate of surgery has significantly increased. However, new complications are occurrence along with new techniques and new materials. Though diversity of surgery provides more selections for patients, each surgical method has advantages and disadvantages as well as individualized differences, comprehensive consideration should be made according to age, symptoms, signs, medical history, living habits, sexual life demands and general conditions. Optimal surgical regimen and adequate communication should be made to achieve the best treatment effect.
作者
范晓东
朱颖军
FAN Xiao-dong;ZHU Ying-jun.(Department of Gynecology,Tianjin Central Hospital of Gynecology Obstetrics, Affiliated Gynecology Obstetrics Hospital of Nankai University,Tianjin 300100,China)
出处
《国际妇产科学杂志》
CAS
2019年第1期27-31,共5页
Journal of International Obstetrics and Gynecology
