文献类型：期刊文献

中文题名：阴道骶骨固定术手术途径的发展现况

英文题名：Research Progress in the Route of Sacrocolpopexy

作者：魏颖[1,2];吴珍珍[2];王剑[2];毛宝宏[2];王燕侠[2];刘青(审校)[1,2]

第一作者：魏颖

机构：[1]甘肃中医药大学,兰州730000;[2]甘肃省妇幼保健院

第一机构：甘肃中医药大学

年份：2020

卷号：47

期号：1

起止页码：106

中文期刊名：国际妇产科学杂志

外文期刊名：Journal of International Obstetrics and Gynecology

收录：CSTPCD

基金：国家十二五科技支撑计划（2014BAI05B02);2017年甘肃省重点研发计划项目（17YF1FA109）

语种：中文

中文关键词：阴道骶骨固定术;腹腔镜检查;机器人手术;盆底疾病;盆腔器官脱垂

外文关键词：Sacrocolpopexy;Laparoscopy;Robotic surgical procedures;Pelvic floor disorders;Pelvic organ prolapse

摘要：盆腔器官脱垂(POP)属于盆底功能障碍性疾病(PFD)的一种,是中老年妇女的常见病,虽对患者生命尚不构成威胁,但是其从多方面影响患者的生活质量及心理健康。POP的治疗方式可分为保守治疗及手术治疗,手术治疗主要分为传统手术及重建手术。受制于传统手术不可逆转的弊端及术后高复发率,并且近年随着手术技术及器械的进步,重建手术日益发展。其中阴道骶骨固定术是治疗POP的金标准术式,手术途径由传统开腹手术逐渐发展为损伤更小的腹腔镜或经阴道途径,随着达芬奇手术机器人的问世,机器人辅助的腹腔镜手术亦成为一种选择。但是各种术式的手术结局、术中及术后并发症各不相同,且尚无统一定论。综述阴道骶骨固定术的手术途径,为相关临床决策的制定提供依据。
Pelvic organs prolapse(POP)is one of the pelvic floor disorders(PFD),which is one of the prevalent diseases among the middle-aged and elderly women.POP significantly affects quality of life and the mental condition in different ways,while not affects the safety of life.The treatment included conservative treatment and surgeries.Surgeries,including traditional surgeries and reconstructive surgeries.Limited by the irreversible disadvantages of traditional surgery and high postoperative recurrence rate,and with the progress of surgical technology and equipment,reconstructive surgery is developing day by day.The sacrocolpopexy,one of the new surgeries,is set up as the gold standard.The operation way has gradually developed from traditional open surgery to laparoscopic or transvaginal surgery with less damage.Along with the Da Vinci surgical robot,the robotic assisted sacrocolpopexy occurred.All the differences between the routes are unclear and inconsistent including the surgeries outcomes,intraoperative complications or postoperative problems.This article reviewed the routes hoping to provide a theoretical basis for the development of relevant clinical interventions.