子宫脱垂的腹腔镜手术治疗进展

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。

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

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.