【5A文】盆底重建的历史.pptVIP

安全 性功能 排泄节制 耐久性 脱垂消除 成功的手术结果 轻度膨出无症状者：观察、随访 轻度膨出有症状者：非手术治疗 中度以上膨出患者：手术治疗 盆底重建的手术原则 无张力置入 尽量分离缺损空间使植入物覆盖范围广。 网带缝合在阴道近段，固定于坐骨棘附近。 不需修剪阴道壁，术后会回缩，保持阴道壁有一定厚度。 手术方式灵活多样 骨盆底前部修补 骨盆底后部修补 整体修补 （伴或不伴子宫切除） * * * * * * * * * * * * * * * * The surgical technique was refined over a 5-year period through 600+ surgical interventions by the 9 French gynecologic experts. The group assessed implant shapes, sizes, and material composition, incision and dissection techniques, and implant fixation points. The assessment culminated in a combined United States and French prospective clinical trial that