| 摘要: |
| ［摘要］ 女性盆底功能障碍性疾病是中老年女性常见病,50%经产妇可能会发生盆腔器官脱垂。中盆腔功能障碍，主要表现为子宫或阴道穹窿脱垂以及直肠子宫陷凹疝形成，治疗中盆腔功能障碍的常用手术有阴道骶骨固定术、McCall后穹隆成形及高位骶韧带悬吊、骶棘韧带固定术、经阴道后路悬吊带术、全盆底重建术等，该文对这些手术方式的适应证、手术方法、并发症及防治进行综述。 |
| 关键词: 盆腔器官脱垂手术 阴道骶骨固定术 骶棘韧带固定术 经阴道后路悬吊带术 |
| DOI：10.3969/j.issn.1674-3806.2012.04.37 |
| 分类号:R 711 |
| 基金项目: |
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| Progress in surgical treatment for middle compartment dysfunction |
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SU Qing-hong,TAN Yi
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Department of Obstetrics and Gynecology,the Seventh Affiliated Hospital of Guangxi Medical University,Wuzhou 543001,China
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| Abstract: |
| ［Abstract］ Pelvic floor dysfunctional（PFD ） diseaseis a common disease among elderly women. pelvic organ prolapse may occur in 50% of pluripara. The middle compartment dysfunction is mainly presented with uterine or vaginal vault prolapse and rectal uterine pouch hernia formation, for which the common treatments are abdominal sacrocolpopexy, McCall Culdeplasty and high uterosacral ligament suspension（HUS）, sacrospinous ligament fixation（SSLF）, posteriorintravaginal slingplasty（P-IVS）, total pelvic reconstruction etc. In this paper,the surgical indications, surgical methods, complications,prevention and treatment are reviewed. |
| Key words: Pelvic organ prolapse（POP） operation Abdominal sacrocolpopexy Sacrospinous ligament fixation（SSLF） Posterior intravaginal slingplasty（P-IVS） |
