关键词: 骨盆底, 脱垂, 尿失禁, 压力性, 治疗, 诊断

Abstract: Pelvic floor dysfunction（PFD） refers to a wide range of medical conditions caused by the weakness, tightness, or impairment of the muscles in the pelvic floor, with increasing incidence over time. The contributing factors for the pathogenesis of PFD are multi-factorial. Although the non-operative management of PFD is a safe way to treat many pelvic floor complaints, surgical management is another choice if the function rehabilitation of pelvic floor can not be achieved by the non-operative treatment. With increasing knowledge on the anatomical components and structure of the pelvic floor, modern modalities including transvaginal uphold mesh and uterosacral suspension are applied, along with the traditional surgical procedures. However, both traditional and modern modalities could be accompanied with post-operative complications. It is proposed that PFD treatment should be individual-based. This review summarized the pathogenesis of PFD and the new diagnostic modes which provide the theoretical basis for clinical treatment, compared the advantages and disadvantages of different treatment modalities as well as their indications, and introduced new techniques, new materials and new instruments as well as their research progress.

Key words: Pelvic floor, Prolapse, Urinary incontinence, stress, Therapy, Diagnosis