中国实用外科杂志2026,Vol.46Issue(2):173-179,7.DOI:10.19538/j.cjps.issn1005-2208.2026.02.03
女性盆底的解剖学要点及手术应用进展
Key anatomical points of the female pelvic floor and the progress of surgical applications
摘要
Abstract
The female pelvic floor features a complex anatom-ical structure involving the urinary,reproductive,and digestive systems.The evolution of anatomical understanding has pro-foundly influenced the development of colorectal surgery.With advances in the three-level vaginal support theory,refined an-atomical studies,and innovations in surgical techniques,signif-icant progress has been made in the treatment strategies for fe-male pelvic floor disorders,particularly those related to pelvic floor dysfunction in colorectal surgery.The key anatomical structures of the female pelvic floor include the female pelvic floor,focusing on key structures such as the levator ani muscle complex,hiatus of the pelvic diaphragm,arcus tendineus fasci-ae pelvis,and neurovascular bundles.Pelvic floor reconstruc-tion surgery aims to restore both anatomy and function,and the choice of surgical methods emphasizes individualization.Cur-rent surgical techniques are developing towards minimally in-vasive directions,with laparoscopy,robot-assisted,and trans-vaginal natural orifice surgery becoming increasingly popular.At the same time,it emphasizes maximizing the protection of colorectal function through a multidisciplinary collaboration model.关键词
女性盆底/肛提肌/阴道三水平支持/顶端支持/骶骨固定术Key words
female pelvic floor/levator ani muscle/three-level vaginal support/apical support/sacrocolpopexy分类
医药卫生引用本文复制引用
朱兰,梁硕,徐蕾媚..女性盆底的解剖学要点及手术应用进展[J].中国实用外科杂志,2026,46(2):173-179,7.基金项目
国家重点研发计划项目(No.2023YFC2706001) (No.2023YFC2706001)
国家自然科学基金项目(No.82271656,No.82530054) (No.82271656,No.82530054)
中央高水平医院临床科研专项(No.2025-PUMCH-A-042) National Key Research and Development Program Project(No.2023YFC2706001) (No.2025-PUMCH-A-042)
National Natural Sci-ence Foundation Project(No.82271656,No.82530054) (No.82271656,No.82530054)
Cen-tral High-level Hospital Clinical Research Special Project(No.2025-PUMCH-A-042) (No.2025-PUMCH-A-042)