盆腔器官脱垂手术后复发的高危因素相关研究进展
Research Progress on Risk Factors for Postoperative Recurrence of Pelvic Organ Prolapse
DOI: 10.12677/ACM.2024.142324, PDF,   
作者: 曾 莉*, 卢 清, 石 城：南通市妇幼保健院妇科，江苏 南通
关键词: 盆腔器官脱垂；手术；复发；Pelvic Organ Prolapse； Operation； Recurrence
摘要: 盆腔器官脱垂(pelvic organ prolapsed, POP)是盆底支持结构缺陷、损伤与功能障碍造成的一种妇科常见病，严重影响到患者的生活质量和身心健康。随着人口老龄化，POP的发病率逐步上升。重度POP一般采用手术治疗方式，POP手术术式经历了长期的研究和经验累积，但其治疗结果仍存在着高达10%~58%的解剖复发率。关于POP术后患者复发危险因素的文献报道常有差异，本综述旨在研究POP手术治疗的术后复发率并探讨其相关发生的危险因素。
Abstract: Pelvic organ prolapse (POP) is a common gynecological disease caused by defects, injuries, and functional impairments in the pelvic floor support structure, which seriously affects the quality of life and physical and mental health of patients. With the aging of the population, the incidence rate of POP gradually increases. Severe POP is generally treated with surgical methods, which have un-dergone long-term research and experience accumulation. However, the treatment results still have a high anatomical recurrence rate of 10% to 58%. There are often differences in literature reports on the risk factors for postoperative recurrence in patients undergoing POP surgery. This review aims to investigate the postoperative recurrence rate of POP surgery and explore the related risk factors for its occurrence.
文章引用：曾莉, 卢清, 石城. 盆腔器官脱垂手术后复发的高危因素相关研究进展[J]. 临床医学进展, 2024, 14(2): 2308-2314. https://doi.org/10.12677/ACM.2024.142324

参考文献

[1] 中华医学会妇产科学分会妇科盆底学组. 盆腔器官脱垂的中国诊治指南(2020年版) [J]. 中华妇产科杂志, 2020, 55(5): 300-306.
[2] 姚秀华, 刘剀, 于敬会. 初产妇盆腔器官脱垂现况及影响因素分析[J]. 中国妇幼卫生杂志, 2023, 14(3): 7-11.
[3] Jakus-Waldman, S., Brubaker, L., Jelovsek, J.E., et al. (2020) Risk Factors for Surgical Failure and Worsening Pelvic Floor Symptoms within 5 Years after Vaginal Prolapse Repair. Obstetrics & Gynecology, 136, 933-941. [Google Scholar] [CrossRef] 
[4] Roos, E.J. and Schuit, E. (2021) Timing of Recurrence after Surgery in Pelvic Organ Prolapse. International Urogynecology Journal, 32, 2169-2176. [Google Scholar] [CrossRef] [PubMed]
[5] Ferrando, C.A., Bradley, C.S., Meyn, L.A., et al. (2023) Twelve Month Outcomes of Pelvic Organ Prolapse Surgery in Patients with Uterovaginal or Posthysterectomy Vaginal Prolapse Enrolled in the Multicenter Pelvic Floor Disorders Registry. Urogynecology (Phila), 29, 787-799. [Google Scholar] [CrossRef] 
[6] 牛晓宇, 王平. 盆腔器官脱垂防治在新医疗模式下个体化和全程化管理策略[J]. 实用妇产科杂志, 2023, 39(4): 255-260.
[7] Kowalski, J.T., Barber, M.D., Klerkx, W.M., et al. (2023) International Urogynecological Consultation Chapter 4.1: Definition of Outcomes for Pelvic Organ Prolapse Surgery. International Urogynecology Journal, 34, 2689-2699. [Google Scholar] [CrossRef] [PubMed]
[8] 鲁永鲜. 盆腔器官脱垂手术复发的预防与治疗[J]. 中国实用妇科与产科杂志, 2022, 38(5): 495-499.
[9] Weltz, V., Guldberg, R., Larsen, M.D., et al. (2021) Body Mass Index Influences the Risk of Reoperation after First-Time Surgery for Pelvic Organ Prolapse. A Danish Cohort Study, 2010-2016. International Urogynecology Journal, 32, 801-808. [Google Scholar] [CrossRef] [PubMed]
[10] Mowat, A., Maher, D., Baessler, K., et al. (2018) Surgery for Women with Posterior Compartment Prolapse. Cochrane Database of Systematic Reviews, 3, CD012975. [Google Scholar] [CrossRef] 
[11] Catanzarite, T., Klaristenfeld, D.D., Tomassi, M.J., et al. (2018) Recurrence of Rectal Prolapse after Surgical Repair in Women with Pelvic Organ Prolapse. Diseases of the Colon & Rectum, 61, 861-867. [Google Scholar] [CrossRef] 
[12] Wu, J.M., Matthews, C.A., Conover, M.M., et al. (2014) Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse Surgery. Obstetrics & Gynecology, 123, 1201-1206. [Google Scholar] [CrossRef] 
[13] Siff, L.N., Barber, M.D., Zyczynski, H.M., et al. (2020) Immediate Postoperative Pelvic Organ Prolapse Quantification Measures and 2-Year Risk of Prolapse Recur-rence. Obstetrics & Gynecology, 136, 792-801. [Google Scholar] [CrossRef] 
[14] Liu, H., Wu, W., Xiang, W., et al. (2023) Lifestyle Factors, Metabolic Factors and Socioeconomic Status for Pelvic Organ Prolapse: A Mendelian Randomization Study. European Journal of Medical Research, 28, Article No. 183. [Google Scholar] [CrossRef] [PubMed]
[15] Zhang, R., Wang, L. and Shao, Y. (2022) The Application of a Multidimensional Prediction Model in the Recurrence of Female Pelvic Organ Prolapse after Surgery. Applied Bionics and Biomechanics, 2022, Article ID: 3077691. [Google Scholar] [CrossRef] [PubMed]
[16] Schulten, S., Claas-Quax, M.J., Weemhoff, M., et al. (2022) Risk Fac-tors for Primary Pelvic Organ Prolapse and Prolapse Recurrence: An Updated Systematic Review and Meta-Analysis. American Journal of Obstetrics & Gynecology, 227, 192-208. [Google Scholar] [CrossRef] [PubMed]
[17] Bodner-Adler, B., Bodner, K., Carlin, G., et al. (2022) Clinical Risk Factors for Recurrence of Pelvic Organ Prolapse after Primary Native Tissue Prolapse Repair. Wiener klinische Wochenschrift, 134, 73-75. [Google Scholar] [CrossRef] [PubMed]
[18] Vergeldt, T.F., Weemhoff, M., IntHout, J., et al. (2015) Risk Factors for Pelvic Organ Prolapse and Its Recurrence: A Systematic Review. International Urogynecology Journal, 26, 1559-1573. [Google Scholar] [CrossRef] [PubMed]
[19] Manodoro, S., Frigerio, M., Cola, A., et al. (2018) Risk Factors for Recurrence after Hysterectomy plus Native-Tissue Repair as Primary Treatment for Genital Prolapse. International Urogynecology Journal, 29, 145-151. [Google Scholar] [CrossRef] [PubMed]
[20] Shi, W. and Guo, L. (2023) Risk Factors for the Recurrence of Pelvic Organ Prolapse: A Meta-Analysis. Journal of Obstetrics and Gynaecology, 43, Article ID: 2160929. [Google Scholar] [CrossRef] [PubMed]
[21] Schulten, S.F., Detollenaere, R.J., IntHout, J., et al. (2022) Risk Factors for Pelvic Organ Prolapse Recurrence after Sacrospinous Hysteropexy or Vaginal Hysterectomy with Uterosacral Ligament Suspension. American Journal of Obstetrics & Gynecology, 227, 251-252. [Google Scholar] [CrossRef] [PubMed]
[22] 张玉. 女性盆腔脏器脱垂术后预测复发的Nomogram模型研究[D]: [硕士学位论文]. 济南: 山东大学, 2020.
[23] Brunes, M., Johannesson, U., Drca, A., et al. (2022) Recurrent Surgery in Uterine Prolapse: A Nationwide Register Study. Acta Obstetricia et Gynecologica Scandinavica, 101, 532-541. [Google Scholar] [CrossRef] [PubMed]
[24] Vermeulen, C., Schuurman, B., Coolen, A., et al. (2023) The Effectiveness and Safety of Laparoscopic Uterosacral Ligament Suspension: A Systematic Review and Meta-Analysis. BJOG, 130, 1568-1578. [Google Scholar] [CrossRef] [PubMed]
[25] 朱兰, 宋晓晨. 骶骨固定术——顶端脱垂的“金标准”术式[J]. 中国实用妇科与产科杂志, 2023, 39(3): 257-259.
[26] Najib, B., Rusavy, Z., Abdallah, W., et al. (2023) Laparoscopic Sacrocolpopexy in the Management of Recurrent Pelvic Organ Prolapse. Journal of Gynecology Obstetrics and Human Reproduction, 52, Article ID: 102651. [Google Scholar] [CrossRef] [PubMed]
[27] Wang, X., Hu, C., Chen, Y., et al. (2020) LeFort Colpocleisis for Recurrent Pelvic Organ Prolapse. International Urogynecology Journal, 31, 381-384. [Google Scholar] [CrossRef] [PubMed]
[28] Baranowski, W., Stangel-Wojcikiewicz, K., Grzybowska, M.E., et al. (2022) Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guidelines on the Man-agement of Recurrent Pelvic Organ Prolapse. Ginekologia Polska, 93, 173-176. [Google Scholar] [CrossRef] 
[29] 宋岩峰. 如何理解经阴道植入网片手术的专家共识[J]. 中国实用妇科与产科杂志, 2020, 36(10): 924-927.
[30] Brunes, M., Ek, M., Drca, A., et al. (2022) Vaginal Vault Prolapse and Recurrent Surgery: A Nationwide Observational Cohort Study. Acta Obstetricia et Gynecologica Scandinavica, 101, 542-549. [Google Scholar] [CrossRef] [PubMed]
[31] 李炜, 谈诚, 唐军, 等. 应用盆底超声检查探讨肛提肌损伤与盆腔器官脱垂顶端支持结构的相关性[J]. 中国妇产科临床杂志, 2021, 22(5): 474-476.
[32] Metcalfe, N.D., Shandley, L.M., Young, M.R., et al. (2022) Pelvic Organ Prolapse Recurrence after Apical Prolapse Repair: Does Obe-sity Matter? International Urogynecology Journal, 33, 275-284. [Google Scholar] [CrossRef] [PubMed]
[33] Zhou, Q., Lu, M., Li, G.S., et al. (2023) Identification of Poten-tial Molecular Mechanisms and Therapeutic Targets for Recurrent Pelvic Organ Prolapse. Heliyon, 9, e19440. [Google Scholar] [CrossRef] [PubMed]

为你推荐