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盆底功能障碍性疾病(PFD)是中老年妇女的常见病,主要包括盆腔脏器脱垂(POP)和压力性尿失禁(SUI)。而阴道穹窿脱垂是POP的一种表现形式,是传统子宫切除术后的常见并发症,多发生于子宫切除术后2～13年,发生率为2%～45%,可导致妇女泌尿系统、肛门、直肠及性功能障碍,严重影响其生活质量。近年来,随着对盆底解剖研究的深入,阴道穹窿脱垂修复重建手术取得突破性进展,治疗效果不断提高。为深入了解导致阴道穹窿脱垂的病因,本研究对其相关风险因素、诊断手段、治疗方式和效果及可能引发的并发症等,进行综述如下。
Pelvic floor dysfunction disease (PFD) is a common disease in older women, including pelvic organ prolapse (POP) and stress urinary incontinence (SUI). The vaginal vault prolapse is a manifestation of POP, is a common complication after conventional hysterectomy, occurred in 2 to 13 years after hysterectomy, the rate of 2% to 45%, can lead to urinary system in women , Anus, rectum and sexual dysfunction, seriously affecting their quality of life. In recent years, with the deepening of pelvic floor anatomy, vaginal vault prolapse repair reconstruction made a breakthrough, the treatment effect continues to increase. In order to further understand the etiology of vaginal vault prolapse, this study summarizes its related risk factors, diagnostic methods, treatment methods and effects and possible complications.