盆腔脏器脱垂的手术治疗进展

摘要/Abstract

摘要： 盆腔脏器脱垂是一类常见的妇科疾病，包括：阴道前壁膨出、子宫脱垂、阴道后壁膨出和阴道穹窿脱垂。随着手术理念的更新，人工合成材料的发展，以及腹腔镜技术的普及，治疗POP的术式呈现多样化、微创化趋势，如何选择POP术式成为临床医师关注的焦点。

关键词: 盆腔脏器脱垂, 手术, 治疗进展

Abstract: Pelvic organ prolapse is a kind of common gynecological diseases, including: anterior vaginal prolapse, uterine prolapse, posterior vaginal prolapse and vaginal vault prolapse. As the science and technology develop, the means of diagnosis and treatment in POP is updating constantly and getting minimally invasive. There is a discussion on the choice of different type of the POP operations.

陈汝君王建军. 盆腔脏器脱垂的手术治疗进展[J]. 外科研究与新技术, 2016, 5(1): 61-65.

参考文献

[1] 郎景和, 朱兰. 关于盆底功能障碍性疾病手术的几个问题[J]. 中华妇产科杂志, 2010, 45(5): 321-322.
[2] Maher C, Baessler K. Surgical management of anterior vaginal wall prolapse: an evidencebased literature review.[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2005, 17(2): 195-201.
[3] MaherC, BaesslerK. Surgical management of anterior vaginal wall prolapse: an evidencebased literature review[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2006, 17(2): 195-201.
[4] 郎景和. 妇科泌尿学及盆底重建外科：过去、现在、与将来（之二）[J]. 中华妇产科杂志, 2005, 40(3): 145-147.
[5] 唐家龄, 叶明. 经阴道"桥"式修复术治疗阴道脱垂50例分析[J]. 实用妇产科杂志, 2007, 23(9): 575-576.
[6] Petros PEP. Vault prolapse II:Restoration of Dynamic Vaginal Supports by infracoccygeal Sacropexy,an Axial Day-case Vaginal procedure[J]. International Urogynecology Journal, 2001, 12(5): 296-303.
[7] Richardson AC. The rectovaginal septum revisited:its relationship to rectocele and its importance in rectocele repair[J]. Clin Obstet Gynecol, 1993, 36(4): 976-983.
[8] 朱兰, 郎景和. 阴道后壁"桥"式缝合术的应用[J]. 中华妇产科杂志, 2005, 40(12): 859-860.
[9] 孙智晶, 朱兰, 郎景和. 阴道后壁"桥式"修补术53例临床分析[J]. 实用妇产科杂志, 2008, 24(4): 241-243.
[10] 鲁永鲜, 刘昕. 经阴道行阴道旁修补术在阴道前壁及膀胱膨出治疗中的应用[J]. 中华妇产科杂志, 2005, 40(3): 154-158.
[11] Lane FE. Repair of posthysterectomy vaginal-vault prolapse[J]. Obstet Gynecol, 1962, 20: 72-77.
[12] Beer M, Kuhn A. Surgical techniques for vault prolapse: a review of the literature[J]. Eur J Obstet Gynecol Reprod Biol, 2005, 119(2): 144-155.
[13] Chene G, Tardieu AS. Anatomical and functional results of McCall culdoplasty in the prevention of enteroceles and vaginal vault prolapse after vaginal hysterectomy[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(7): 1007-1011.
[14] Chaudhury N, Sen M. Le Fort's procedure--an option for the aged[J]. J Indian Med Assoc, 2011, 109(3): 182-187.
[15] 鲁永鲜, 胡蔓萝. 阴道封闭术治疗老年性重度盆腔器官脱垂的临床疗效[J]. 中华妇产科杂志, 2010, 45(5): 331-337.
[16] 王佳, 鲁永鲜. 经阴道网片盆底重建手术的历史及应用现状与争论[J]. 中华妇产科杂志, 2013, 48(7): 554-556.
[17] 张坤, 韩劲松. 经阴道网片植入盆底重建术治疗盆腔器官脱垂术后并发症分析[J]. 中华妇产科杂志, 2012, 47(9): 669-671.
[18] Sung V W, Rogers R G, Schaffer J I ,et al .Graft use in transvaginal pelvic organ prolapse repair :a systematic review [J] .Obstet Gynecol ,2008 ,112(5) :1131-1142.
[19] 黄惠娟, 王凤玫, 宋岩峰, 等. 盆底重建术150例临床分析[J]. 中国实用妇科与产科杂志,2010, 27(1): 54-56.
[20] Abed H, Rahn DD, et al. Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review[J]. Int Urogynecol J, 2011, 22(7): 789-798.
[21] 高阗, 初磊, 李怀芳. 盆底重建手术并发症及其治疗[J]. 医学与哲学, 2013, 34(16): 22-24.
[22] 杨欣, 王建六. 正确认识美国FDA对经阴道使用网片安全性及有效性的警示[J]. 中国妇产科临床杂志, 2013, 14(2): 97-99.
[23] Shah DK,Paul EM,Rastinehad AR,et a1.Short-term out-come analysis of total pelvic reconstruction with mesh:the vaginal approach[J].J Urol,2004,171:261-263.
[24] Kohli N,Miklos JR.Dermal graft-augmented rectocele repair[J].Int Urogynecol J Pelvic Floor Dysfunct,2003, 14:146.149.
[25] Michacli D,Mcpherson M.Immunologic study of artificial skin used in the treatment of thermal injuries[J].Burn Care Rehabil,1990,11(1):2l-26.
[26] Chetty BV,Boissy RE,Warden GD,et a1.Basement membrane and fibroblast aberration in blisters at the donor.graft and spontaneously healed sites in patients with burns[J]. Areh Dermatol,1992,128:181-186.
[27] 周慧梅, 朱兰, 郎景和. 生物补片用于阴道后壁修补术的近期效果初探[J]. 现代妇产科进展, 2008, 17(1): 49-51.
[28] 万晓慧, 张树丽, 丁岩, 古丽娜?阿巴拜克力. 生物补片应用于女性盆底重建手术19例临床分析[J]. 新疆医科大学学报 , 2009, 32(7): 966-968.
[29] Vancaillie T G, Schuessler W. Laparoscopic bladderneck suspension[J]. J Laparoendosc Surg, 1991, 1(3):169-173
[30] Dorsey J, Peagues R. Laparoscopic reconstructive procedures[ J ]. Obstet Gynecol Forum, 1993(4):2-6.
[31] Khan A,Alperin M,Wu N,et al.Comparative outcomes of open versus laparoscopic sacrocolopexy among Medicare beneficiaries[J].Int Urogynecol J,2013,24(11):1883-1891.
[32] Freeman RM,Pantazis K,Thomson A,et al.A randomized controlled trial of abdominal versus laparoscopic sacrocolopexy for the treatment of post-hysterectomy vaginal vault prolapse:LAS study[J].Inte Urogynecol J,2013,24(3);377-384.
[33] 魏冬梅, 牛平, 王晓宇. 腹腔镜下子宫/阴道-骶骨固定术与阴道网片全盆底重建术治疗盆腔器官脱垂的疗效比较[J]. 中华妇幼临床医学杂志（电子版）, 2015, 11(2): 37-42.
[34] 梁志清, 徐惠成. 腹腔镜下子宫骶骨韧带缩短固定术治疗子宫脱垂[J]. 中华妇产科杂志, 2004, 39(10): 666-668.
[35] Di Marco DS,Chow GK,Gettman MT,et a1.Robotic-assisted laparoscopic sacrocolpopexy for treatment of vaginal vault prolapse[J].Urology,2004,63:373-376.
[36] Elliott DS,Krambeck AE,Chow GK.Long-term results of roboticassisted laparoscopic sacrocolpopexy for the treatment of high gradevaginal vault prolapse[J].J Urol,2006,176:655-659.
[37] 李秀丽, 周宁. 机器人手术系统行骶骨子宫固定术治疗子宫脱垂的初步研究[J]. 中华妇产科杂志, 2014, 49(6): 428-431.
[38] 周全, 宋岩峰. 达芬奇机器人系统在妇科盆底功能障碍中的应用进展[J]. 中华全科医学, 2012, 10(10): 1606-1609.
[39] Ramm O,Kenton K. Robotics for Pelvic Reconstruction[J]. Curr Bladder Dysfunct Rep,2011,6( 3) : 176-181.