国际妇产科学杂志

国际妇产科学杂志 ›› 2010, Vol. 37 ›› Issue (2): 101-103.

• 综述 • 上一篇    下一篇

子宫脱垂的腹腔镜手术治疗进展

周严娟,凌斌   

  1. 230001合肥，安徽医科大学附属省立医院妇产科
  • 收稿日期:2009-11-11 修回日期:1900-01-01 出版日期:2010-04-15 发布日期:2010-04-15
  • 通讯作者: 凌斌

Research Progress on Laparoscopic Surgical Management of Uterine Prolapse With Uterine Conservation

ZHOU Yan-juan, LING Bin   

  1. Department of Obstetrics and Gynecology, the Affiliated Provincial Hospital of Anhui Medical University, Hefei 230001, China
  • Received:2009-11-11 Revised:1900-01-01 Published:2010-04-15 Online:2010-04-15
  • Contact: LING Bin

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摘要： 子宫脱垂是一种常见的妇科疾病。子宫脱垂的病因是多因素的，包括神经肌肉功能障碍和盆底筋膜的缺陷。近年随着腹腔镜技术在妇科手术中的应用及补片材料的研发应用，使腹腔镜下治疗子宫脱垂并保留子宫成为可能。出现多种术式变化，如腹腔镜下子宫圆韧带悬吊术、子宫骶骨岬固定术、宫骶韧带缩短术等。由于腹腔镜技术具有视野开阔、创伤小、术后恢复快、住院时间短等优点，使其成为近年研究的热点。

关键词: 腹腔镜, 子宫脱垂, 子宫悬吊术, 手术补片

Abstract: Uterine prolapse is a common gynecologic problem. The aetiology of prolapse is multifactorial, including neuromuscular dysfunction and fascial defects. The advent of laparoscopic instrumentation and surgical techniques for gynecologic procedures and surgical mesh has made uterine reservation true. It has many surgery approaches, such as laparoscopic uterine suspension to round ligament, laparoscopic sacral suture hysteropexy, laparoscopic suture uterosacral ligament hysteropexy. Because of the advantages that laparoscopic approach enhances more precise suture placement, and offers minimized hurt, shorter recovery time and hospital stays, it has been a hot research in recent years.

Key words: Laparoscopy, Uterine prolapse, Uterine suspension, Surgical mesh