中国实用妇科与产科杂志2026，Vol.42Issue(4)：419-425,7.DOI:10.19538/j.fk2026040109
基于解剖学的会阴及其他部位裂伤修复理念与临床实践
Concept and clinical practice of repairing lacerations of perineum and other parts based on anatomy
摘要
Abstract
Obstetric lacerations are common complications of vaginal delivery,and inadequate repair is prone to induc-ing long-term complications such as pelvic floor dysfunc-tion.Therefore,standardized repair of obstetric lacerations is of great significance for improving the quality of obstetric clinical practice.The rectovaginal septum,perineal body,anal sphincter complex and other structures are key compo-nents in maintaining the structural integrity and normal physiological function of the pelvic floor,and they are vul-nerable to injuries during vaginal delivery.Hence,the re-pair of such obstetric lacerations should emphasize struc-tural and functional reconstruction based on anatomy,and the repair strategy must abide by the core principle of"pri-oritizing anatomical reduction and functional orientation".Prior to suture,the degree of lacerations should be fully evaluated.Clinical interventions should include adequate hemostasis,layered apposition of injured tissues,and re-construction of the anatomical continuity of muscles and fasciae.In addition,the implementation of comprehensive perioperative management centering on functional recovery is also essential,so as to promote the overall rehabilitation of the pelvic floor structure and function of patients.关键词
阴道分娩/产科裂伤/直肠阴道隔/产科相关肛门括约肌损伤/解剖复位Key words
vaginal delivery/obstetric lacerations/rectovaginal septum/obstetric-related anal sphincter injuries/anatomical reduction分类
医药卫生引用本文复制引用
王乐乐,郑峥..基于解剖学的会阴及其他部位裂伤修复理念与临床实践[J].中国实用妇科与产科杂志,2026,42(4):419-425,7.基金项目
广州市科技局市校联合基金(2023A03J0876,SL2024A03J01551) （2023A03J0876,SL2024A03J01551）
广州市科技重点研发项目(2024B03J1283) （2024B03J1283）
教育部产学合作协同育人项目(2508115810) Guangzhou Science and Technology Bu-reau City School Joint Fund(2023A03J0876,SL2024A03J01551) （2508115810）
Guangzhou Key Science and Technology Research and Development Project(2024B03J1283) （2024B03J1283）
Collaborative Education Project of the Ministry of Education(2508115810) （2508115810）
