国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (2): 212-215.

• 综述 • 上一篇    下一篇

生物力学在女性盆底功能障碍性疾病中的应用

毛卉,黄程胜,吴氢凯,周月娣   

  1. 200233 上海交通大学附属第六人民医院妇产科(毛卉,黄程胜,吴氢凯,周月娣);浙江省余姚市人民医院(毛卉)
  • 收稿日期:2018-11-16 修回日期:2019-01-05 出版日期:2019-04-15 发布日期:2019-04-15
  • 通讯作者: 吴氢凯,E-mail:angleh@163.com E-mail:angleh@163.com
  • 基金资助:
    国家自然科学基金(81550008,81771523);上海交通大学多学科交叉项目培育(医工)(YG2017QN17)

The Application of Biomechanics in Female Pelvic Floor Dysfunction

MAO Hui,HUANG Cheng-sheng,WU Qing-kai,ZHOU Yue-di   

  1. Department of Obstetrics and Gynecology,Shanghai Jiao Tong University Affiliated Sixth People′s Hospital,Shanghai 200233,China(MAO Hui,HUANG Cheng-sheng,WU Qing-kai,ZHOU Yue-di);Yuyao People′s Hospital of Zhejiang Province,Yuyao 315400,Zhejiang Province,China(MAO Hui)
  • Received:2018-11-16 Revised:2019-01-05 Published:2019-04-15 Online:2019-04-15
  • Contact: WU Qing-kai,E-mail:angleh@163.com E-mail:angleh@163.com

摘要: 女性盆底功能障碍性疾病(pelvic floor dysfunction,PFD)是妇科常见病,临床表现为压力性尿失禁(stress urinary incontinence,SUI)、盆腔器官脱垂(pelvic organ prolapse,POP)及女性性功能障碍(female sexual dysfunction,FSD)等,严重影响中老年女性的健康及生活质量。近年来全球大部分国家开始重视该疾病,我国也已将预防女性PFD等工作作为政府的主要工作之一。PFD的发病机制尚无统一定论,且诊断上临床大多以患者的主要症状作为依据。生物力学最早应用于骨科及整形外科,现逐渐应用到妇产科领域。生物力学方法的应用为PFD发病机制、临床诊断、治疗方法的选择及疗效评估提供新的参考标准。尤其是阴道触觉成像系统(vaginal tactile imaging,VTI)能可视化地获取阴道壁的压力,是一种非常有前景的盆底生物力学精准评估新技术。综述生物力学在PFD中的应用。

关键词: 骨盆底, 女(雌)性泌尿生殖系统疾病, 生物力学, 妇女, 盆底功能障碍性疾病

Abstract: Female pelvic floor dysfunction(PFD) is a common gynecological disease. Its clinical manifestations include stress urinary incontinence (SUI), pelvic organ prolapse (POP) and female sexual dysfunction (FSD), which seriously affect the health and quality of life of middle-aged and elderly women. In recent years, most countries in the world have begun to pay attention to this disease, and China has made the prevention of women′s PFD as a main task of the government. Its pathogenesis has not been unified, and the diagnosis is mostly based on the patient′s symptoms. Biomechanics, which was first used in orthopedics and plastic surgery, is gradually applied to the field of obstetrics and gynecology. The application of biomechanical methods provides a new reference standard for the pathogenesis, clinical diagnosis, treatment selection and efficacy evaluation of PFD. Especially, vaginal tactile imaging (VTI) can show vaginal wall pressure visually. It is a new and precise evaluation technique of pelvic floor biomechanics. This paper summarized the application and prospect of biomechanics in PFD.

Key words: Pelvic floor, Female urogenital diseases, Biomechanics, Female, Pelvic floor dysfunction

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