ICS 11.020 CCS C 30 T/GDMDMA 0047—2025团 体 标 准 盆腔器官脱垂腹腔镜骶骨固定手术应用 标准 The application standards for lapar oscopic sacr ocolpopexy for pelvic organ prolapse 2025-06-23 发布          2025 -06-23 实施 广东省医疗器械管理学会 发 布T/GDMDMA 全国团体标准信息平台 全国团体标准信息平台 T/GDMDMA 0047—2025 Ⅰ目 次T/GDMDMA0047—2025 前言 ···························································································································· Ⅲ 引言 ···························································································································· Ⅳ 1 范围 ························································································································· 1 2 规范性引用文件 ········· ································································································· 1 3 术语和定义 ················································································································ 1 4 总则 ························································································································· 1 5 适应证及禁忌证 ············································ ······························································ 2 5.1 适应证 ················································································································· 2 5.2 禁忌证 ················································································································· 2 6 术前评估和准备 ··················································································· ······················· 2 6.1 了解病史 ·············································································································· 2 6.2 全面查体 ·············································································································· 2 6.3 完善检查 ·············································································································· 2 6.4 术前沟通 ······· ······································································································· 3 7 手术步骤和注意事项 ···································································································· 3 7.1 阴道骶骨固定术手术步骤和注意事项 ·········································································· 3 7.2 保留子宫或子宫颈的骶骨固定术手术步骤和注意事项 ····················································· 3 8 网片并发症的预防及术后随访 ························································································ 4 8.1 网片及手术相关并发症 ···························································································· 4 8.2 减少网片相关并发症的措施 ······················································································ 4 8.3 随访时间、频次及内容 ········································································· ··················· 4 9 医院及科室保障 ·········································································································· 4 9.1 医院保障 ·············································································································· 4 9.2 科室保障 ·············································································································· 4 参考文献 ··················· ····································································································· 6 全国团体标准信息平台 T/GDMDMA 0047—2025 Ⅱ全国团体标准信息平台 T/GDMDMA 0047—2025 Ⅲ前   言 本文件按照GB/T 1.1—2020《标准化工作导则 第1部分：标准化文件的结构和起草规则》的规定 起草。 请注意本文件的某些内容可能涉及专利。本文件的发布机构不承担识别专利的责任。 本文件由中国医学科学院北京协和医院提出。 本文件由广东省医疗器械管理学会归口。本文件起草单位：中国医学科学院北京协和医院、广州医科大学附属第一医院、上海市第六人民 医院、武汉大学人民医院、江西省妇幼保健院、上海市第一妇婴保健院、重庆市妇幼保健院、中南大 学湘雅三医院、中国科技大学附属第一医院、甘肃省妇幼保健院、北京大学第一医院、山西省白求恩 医院、四川大学华西二院、国家药品监督管理局药品评价中心（ 国家药品不良反应监测中心 ）。 本文件主要起草人：朱兰、史宏晖、梁硕、宋晓晨、任常、张晓薇、华克勤、吴氢凯、洪莉、汪 利群、吴桂珠、刘禄斌、曾飞、彭程、吴珍珍、陆叶、刘小春、苗娅莉、赵燕、赵一飞、李栋。 全国团体标准信息平台 6T/GDMDMA 0047—2025 Ⅳ  引   言 盆腔器官脱垂（pelvic organ prolapse，POP）是由于盆底肌肉和筋膜组织异常造成的盆腔器官下降 而引发的盆腔器官位置异常及功能障碍，是中老年女性的常见病，严重影响生活质量，重症患者多需 要手术治疗。在前、中、后盆腔缺陷的纠正手术中，中盆腔缺陷的顶端脱垂纠正是重中之重，良好的 “顶端支持”是手术成功的关键。 腹腔镜骶骨固定术（laparoscopic sacrocolpopexy，LSC）是治疗中盆腔缺陷的手术方式，该手术将 子宫或阴道顶端与骶骨前纵韧带通过移植物桥接起来。相对于