盆底医学多专业一体化诊疗体系的发展思路

人类已快速进入老龄化社会,盆底功能障碍性疾病成为新的高发疾病。盆底功能障碍是由于盆底肌、结缔组织和盆壁纤维肌层等盆底支持结构损伤、功能退化或协调障碍所致,包括排便障碍、肛门失禁、膀胱过度活动症、尿失禁、盆腔脏器脱垂、痔疮、性功能障碍、慢性尿潴留和慢性盆腔疼痛等1-2]。PFD常表现为一组疾病征候群,常合并发生,涉及泌尿、妇科、肛肠和心理等多科,多专业一体化诊疗成为发展趋势。

Development Ideas of Integration of Multidisciplinary of Pelvic Floor Medicine

Human Being has walked into the aged society and the pelvic floor disorder (PFD) has become a new common disease. PFD is caused by the injury of pelvic floor muscles, connective tissue or pelvic floor muscle fiber and functional deterioration or coordination disorder. Symptoms of PFD include dyssynergic defecation, fecal incontinence (FI), bladder overactivity (OAB), urinary incontinence (UI), pelvic organ prolapse (POP), hemorrhoids, sexual dysfunction, chronic urinary retention and chronic pelvic pain. PFD is often complied with a group of syndromes and connected with multidisciplinary including urology, gynecology, anorectic and psychology. Integration of multidisciplinary becomes a development trend.