子宫脱垂

紧急程度低
常见-

由于肌肉,韧带和其他支撑骨盆的结构,子宫落在阴道壁之外,会发生子宫脱垂。

导致它的因素是阴道分娩,高龄,肥胖,子宫切除术和更年期。

最常见的症状是阴道内有骨盆压力/沉重感或突出感。他们经常患有盆底疾病,包括尿,肠和性问题。

诊断依据详细的临床病史和完整的妇科探查。

治疗可以是保守的(植入阴道子宫托和盆底肌肉的锻炼)或手术(有许多类型的手术)。

参考文献
  1. Rebecca G Rogers, Tola B Fashokun. Pelvic organ prolapse in women: An overview of the epidemiology, risk factors, clinical manifestations, and management. UpToDate. Sep 01, 2016.
  2. Lowder JL, Ghetti C, Nikolajski C, et al. Body image perceptions in women with pelvic organ prolapse: a qualitative study. Am J Obstet Gynecol 2011; 204:441.e1.
  3. Sung VW, Washington B, Raker CA. Costs of ambulatory care related to female pelvic floor disorders in the United States. Am J Obstet Gynecol 2010; 202:483.e1.
  4. Oliphant SS, Jones KA, Wang L, et al. Trends over time with commonly performed obstetric and gynecologic inpatient procedures. Obstet Gynecol 2010; 116:926.
  5. Wu JM, Hundley AF, Fulton RG, Myers ER. Forecasting the prevalence of pelvic floor disorders in U.S. Women: 2010 to 2050. Obstet Gynecol 2009; 114:1278.
  6. Stepp, KJ, Walters, MD. Anatomy of the lower urinary tract, rectum, and pelvic floor. In: Urogynecology and Reconstructive Pelvic Surgery, 3rd ed., Walters, MD, Karram, MM (Eds), Mosby Elsevier, Philadelphia 2007. p.27.
  7. Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, Spino C, Whitehead WE, Wu J, Brody DJ; Pelvic Floor Disorders Network. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008 Sep 17;300(11):1311-6. doi: 10.1001/jama.300.11.1311. PMID: 18799443; PMCID: PMC2918416.
  8. Nygaard IE, Shaw JM. Physical activity and the pelvic floor. Am J Obstet Gynecol. 2016 Feb;214(2):164-171. doi: 10.1016/j.ajog.2015.08.067. Epub 2015 Sep 6. PMID: 26348380; PMCID: PMC4744534.
  9. Brito LGO, Pereira GMV, Moalli P, Shynlova O, Manonai J, Weintraub AY, Deprest J, Bortolini MAT. Age and/or postmenopausal status as risk factors for pelvic organ prolapse development: systematic review with meta-analysis. Int Urogynecol J. 2021 Aug 5. doi: 10.1007/s00192-021-04953-1. Epub ahead of print. PMID: 34351465.
作者
医生 Elvira Moreno
版权
© TeckelMedical 2026

症状

    阴道感到压力和/或有沉重感


    外阴肿块


    骨盆感到压力


    漏尿


    用力时外阴肿块突出

需要考虑的症状

发烧(温度大于 38ºC)
排出白色液体(脓液)

个人护理

保持均衡饮食(增加水果、蔬菜、白肉的摄入量,减少富含脂肪的食物和油炸食品)
进行凯格尔式骨盆底锻炼
尽量不要举重物
如果您超重或肥胖,请减肥