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整体理论指导下的阴道前壁脱垂手术治疗

王文英 鲁永鲜

中国实用妇科与产科杂志2025,Vol.41Issue(5):484-487,4.
中国实用妇科与产科杂志2025,Vol.41Issue(5):484-487,4.DOI:10.19538/j.fk2025050102

整体理论指导下的阴道前壁脱垂手术治疗

Surgical treatment for anterior vaginal wall prolapse guided by integral theory

王文英 1鲁永鲜1

作者信息

  • 1. 解放军总医院第四医学中心妇产科,北京 100048
  • 折叠

摘要

Abstract

Pelvic organ prolapse(POP)significantly affects women's quality of life.Anterior vaginal wall prolapse is the most common type,and its treatment faces many challenges.This article analyzes the surgical treatments for anterior vaginal wall prolapse based on the integral theory.The integral theory holds that the pelvic floor is an inter-related integrity,and anterior vaginal wall prolapse is closely related to the prolapse of other pelvic compartment,especially middle compartement.Clinically,anterior pelvic prolapse is often accompanied by stress urinary incontinence.There are various surgical procedures at present,each with its own advantages and disadvantages,such as traditional native tissue anterior midline colporrhaphy and paravaginal repair,whose recurrence rate is still the highest among all the pelvic compartments.Anterior pelvic reconstruction with mesh implantation can reduce the recurrence rate but has the risk of mesh-related complications.In clinical practice,it is necessary to comprehensively consider the patient's condition to select an appropriate surgical procedure.

关键词

阴道前壁脱垂/整体理论/手术治疗/复发率/并发症

Key words

anterior vaginal wall prolapse/integral theory/surgical treatment/recurrence rate/complications

分类

临床医学

引用本文复制引用

王文英,鲁永鲜..整体理论指导下的阴道前壁脱垂手术治疗[J].中国实用妇科与产科杂志,2025,41(5):484-487,4.

基金项目

National Key Research and Development Program of China(2021YFC2009100) 国家重点研发计划(2021YFC2009100) (2021YFC2009100)

中国实用妇科与产科杂志

OA北大核心

1005-2216

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