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中华妇幼临床医学杂志(电子版) ›› 2022, Vol. 18 ›› Issue (03) : 366 -372. doi: 10.3877/cma.j.issn.1673-5250.2022.03.017

综述

孕期与产后盆底功能障碍性疾病及防治研究现状
郑璇1, 赵云2,†()   
  1. 1武汉科技大学医学院，武汉　430065
    2华中科技大学同济医学院附属湖北妇幼保健院产科，武汉　430070
  • 收稿日期:2022-03-15 修回日期:2022-05-10 出版日期:2022-06-01
  • 通信作者: 赵云

Research status of pelvic floor dysfunction diseases during pregnancy and postpartum and its prevention and treatment

Xuan Zheng1, Yun Zhao2,†()   

  1. 1School of Medicine, Wuhan University of Science and Technology, Wuhan 430065, Hubei Province, China
    2Department of Obstetrics, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong Universtiy of Science and Technology, Wuhan 430070, Hubei Province, China
  • Received:2022-03-15 Revised:2022-05-10 Published:2022-06-01
  • Corresponding author: Yun Zhao
  • Supported by:
    Key Project of Hubei Provincial Natural Science Foundation(2019CFA033); Innovation Team Project of Health Commission of Hubei Province(WJ2018H0133)
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郑璇, 赵云. 孕期与产后盆底功能障碍性疾病及防治研究现状[J]. 中华妇幼临床医学杂志(电子版), 2022, 18(03): 366-372.

Xuan Zheng, Yun Zhao. Research status of pelvic floor dysfunction diseases during pregnancy and postpartum and its prevention and treatment[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2022, 18(03): 366-372.

孕期与产后盆底功能障碍性疾病(PFDD)近年备受关注，主要包括盆腔器官脱垂(POP)、压力性尿失禁(SUI)、大便失禁(FI)、性功能障碍(SD)与慢性盆腔疼痛等。妊娠和分娩是导致PFDD发生的独立危险因素之一。随着国家"三孩"生育政策的实施，育龄期女性妊娠、分娩次数增加，产后以盆底功能障碍为主的多种问题日益突显，就诊需求增加。PFDD严重影响女性生活质量。笔者拟就妊娠与分娩对女性盆底功能的影响，上述5种孕期与产后不同类型PFDD，以及该病预防策略、非手术治疗与手术治疗方案的最新研究进展进行阐述。

关键词: 剖宫产术, 阴道分娩, 盆底疾病, 盆底功能障碍性疾病, 盆底肌训练, 经皮神经电刺激, 生物反馈, 外科手术, 女(雌)性

Pregnancy and postpartum pelvic floor dysfunction diseases (PFDD) have attracted much attention in recent years, mainly including pelvic organ prolapse (POP), stress urinary incontinence (SUI), fecal incontinence (FI), sexual dysfunction (SD), chronic pelvic pain, etc.. Pregnancy and childbirth are one of the independent risk factors for PFDD. With implementation of national " three-child" policy, gravidity and parity of women of childbearing age has increased, and various problems, mainly postpartum pelvic floor dysfunction have become increasingly prominent, and the demand for medical treatment has increased. PFDD seriously affect women′s quality of life. The author intends to expound on the latest research progress of impact of pregnancy and childbirth on female pelvic floor function, the above 5 different types of PFDD during pregnancy and postpartum, and its prevention and non-surgical and surgical treatment measures.

Key words: Cesarean section, Vaginal delivery, Pelvic floor disorders, Pelvic floor dysfunction disease, Pelvic floor muscle training, Transcutaneous electric nerve stimulation, Biofeedback, Surgical procedures, operative, Female
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