摘要
盆腔器官脱垂(POP)术后的高复发率迫切需要解决。术前对POP程度、部位及患者困扰症状的评价,改善高危因素,正确术式的选择是减少复发的预防措施。保守和手术是复发后的治疗方法,前者可缓解症状和延缓复发POP的进展,后者可解决及纠正复发。POP复发手术困难,应针对复发特点进行个体化设计,必要时需网片加固,并由受过亚专科训练并有丰富临床经验和手术效果好的医生实施。
There is an urgent need for resolving the high recurrence rate of pevic organ prolaps(POP)after suryery.Severity,location and bother some symptom of POP should be assessed before the surgery.Modifying risk factors and choosing the correct procedures are the preventive measures for reducing the recurrent rate.For the treatment of recurrent POP,there are two methods.One is conservative measures,and the other is surgery.The former can relieve the symptoms and postpone POP progression,and the latter can solve and correct recurrent POP.The operation for recurrent POP is difficult.The individual procedure based on the characteristics of recurrent POP should be designed.The mesh may be needed to reinforce the repairment.Any surgical procedure should be carried out by subspe-cialty-trained and experienced surgeons with an ade-quate clinical experience and good results.
作者
鲁永鲜
LU Yong-xian(Senior Department of Obstetrics&Gynecology,the Fourth Medical Center of PLA General Hospital,Beijing 100048,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2022年第5期495-499,共5页
Chinese Journal of Practical Gynecology and Obstetrics
基金
国家重点研发计划(2021YFC2009100)
。
关键词
盆腔器官脱垂
手术
复发
预防
治疗
pevic organ prolapse
surgery
recurrence
prevevention
management
