Jan Dvořák, Jaromír Mašata, Tomáš Fučík, Alois Martan, Kamil Švabík
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引用次数: 0
摘要
盆腔器官脱垂(POP)是一种常见的诊断方法,在人群中的发病率高达 50%。POP 会导致日常生活受到限制,降低患者的生活质量。保守疗法包括物理疗法或使用不同类型的栓剂,在保守疗法不合适或失败的情况下,可选择手术治疗。提肛肌 (MLA) 的撕脱伤是导致 POP 的一个重要因素。一些患者因 POP 而反复接受手术,对其生活质量造成了负面影响。研究表明,POP 和撕脱伤的分期与指数脱垂手术后复发风险的增加有关。对 MLA 损伤的超声诊断可能有助于预测复发风险。盆底功能的评估对于 POP 手术治疗的成功至关重要。
Effect of pelvic floor status on the outcome of pelvic organ prolapse surgery.
Pelvic organ prolapse (POP) is a common diagnosis with an incidence in the population of up to 50%. POP causes restrictions in everyday life and reduces patients' quality of life. Therapy is either conservative in the form of physiotherapy or the use of different types of pessaries, possibly. in case of inappropriateness or failure of conservative treatment, an operative solution is chosen. Avulsion injury of the levator ani muscle (MLA) is a strong factor in the development of POP. Some patients undergo repeated surgeries for POP, negatively impacting their quality of life. Studies show that the stage of POP and avulsion injury is associated with an increased risk of recurrence after index prolapse surgery. Ultrasound diagnosis of MLA injuries might help in predicting the risk of recurrence. Assessment of pelvic floor function is crucial for the success of surgical management of POP.