基于解剖学的会阴及其他部位裂伤修复理念与临床实践OA

Obstetric lacerations are common complications of vaginal delivery,and inadequate repair is prone to induc-ing long-term complications such as pelvic floor dysfunc-tion.Therefore,standardized repair of obstetric lacerations is of great significance for improving the quality of obstetric clinical practice.The rectovaginal septum,perineal body,anal sphincter complex and other structures are key compo-nents in maintaining the structural integrity and normal physiological function of the pelvic floor,and they are vul-nerable to injuries during vaginal delivery.Hence,the re-pair of such obstetric lacerations should emphasize struc-tural and functional reconstruction based on anatomy,and the repair strategy must abide by the core principle of"pri-oritizing anatomical reduction and functional orientation".Prior to suture,the degree of lacerations should be fully evaluated.Clinical interventions should include adequate hemostasis,layered apposition of injured tissues,and re-construction of the anatomical continuity of muscles and fasciae.In addition,the implementation of comprehensive perioperative management centering on functional recovery is also essential,so as to promote the overall rehabilitation of the pelvic floor structure and function of patients.