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女性盆底的解剖学要点及手术应用进展OA

Key anatomical points of the female pelvic floor and the progress of surgical applications

中文摘要英文摘要

女性盆底解剖结构复杂,涉及泌尿、生殖及消化三大系统,其解剖学认知的演进深刻影响着结直肠外科手术的发展.随着阴道三水平支持理论、精细解剖研究的深入及手术技术的革新,女性盆底相关疾病,特别是与结直肠外科密切相关的盆底功能障碍性疾病的治疗策略取得了显著进展.女性盆底的关键解剖学结构包括肛提肌复合体、盆膈裂孔、盆筋膜腱弓、神经血管束等.盆底重建手术以恢复解剖与功能为目标,术式选择强调个体化.当前手术技术正向微创化方向发展,腹腔镜、机器人辅助及经阴道自然腔道手术日益普及,同时强调通过多学科综合治疗协作组模式,最大限度保护结直肠功能.

The female pelvic floor features a complex anatom-ical structure involving the urinary,reproductive,and digestive systems.The evolution of anatomical understanding has pro-foundly influenced the development of colorectal surgery.With advances in the three-level vaginal support theory,refined an-atomical studies,and innovations in surgical techniques,signif-icant progress has been made in the treatment strategies for fe-male pelvic floor disorders,particularly those related to pelvic floor dysfunction in colorectal surgery.The key anatomical structures of the female pelvic floor include the female pelvic floor,focusing on key structures such as the levator ani muscle complex,hiatus of the pelvic diaphragm,arcus tendineus fasci-ae pelvis,and neurovascular bundles.Pelvic floor reconstruc-tion surgery aims to restore both anatomy and function,and the choice of surgical methods emphasizes individualization.Cur-rent surgical techniques are developing towards minimally in-vasive directions,with laparoscopy,robot-assisted,and trans-vaginal natural orifice surgery becoming increasingly popular.At the same time,it emphasizes maximizing the protection of colorectal function through a multidisciplinary collaboration model.

朱兰;梁硕;徐蕾媚

女性健康与妇产疾病国家临床医学研究中心 中国医学科学院北京协和医学院 北京协和医院妇产科,北京 100730女性健康与妇产疾病国家临床医学研究中心 中国医学科学院北京协和医学院 北京协和医院妇产科,北京 100730女性健康与妇产疾病国家临床医学研究中心 中国医学科学院北京协和医学院 北京协和医院妇产科,北京 100730

医药卫生

女性盆底肛提肌阴道三水平支持顶端支持骶骨固定术

female pelvic floorlevator ani musclethree-level vaginal supportapical supportsacrocolpopexy

《中国实用外科杂志》 2026 (2)

173-179,7

国家重点研发计划项目(No.2023YFC2706001)国家自然科学基金项目(No.82271656,No.82530054)中央高水平医院临床科研专项(No.2025-PUMCH-A-042) National Key Research and Development Program Project(No.2023YFC2706001)National Natural Sci-ence Foundation Project(No.82271656,No.82530054)Cen-tral High-level Hospital Clinical Research Special Project(No.2025-PUMCH-A-042)

10.19538/j.cjps.issn1005-2208.2026.02.03

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