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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。
Female pelvic floor dysfunction is a common disease in middle-aged and elderly women, pelvic organ prolapse may occur in 50% of the mothers. In the pelvic dysfunction, mainly for the uterus or vaginal vault prolapse and the formation of rectal uterine recession hernia, pelvic dysfunction in the treatment of vaginal sacrum surgery commonly used surgery, McCall dome formation and high sacral ligament suspension, sacrospinous ligament Fixation, transvaginal posterior hanging sling, pelvic floor reconstruction and so on, this article indications, surgical methods, complications and prevention of these surgical methods are reviewed.