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1、复旦大学上海医学院妇产科学系教案教研室（科）妇产科姓名丁景新职称主任医师授课题目盆底功能障碍性疾病Plevicfloordysfunction节次3、4授课对象2013级6年制临床医学专业留学生班授课日期2017-12-12一．Objectives1.Masteringthemanifestation,thePOPquantificationandstagingsystemofpelvicorganprolapse.2.Familiarwiththedefinition,etiologyandd
2、iagnosisofpelvicorganprolapse.3.Familiarwiththedefinitionofstressurinaryincontinence.4.Acknowledgingthephysicalexaminationandtestsofstressurinaryincontinence.二．Contentsofcourses1．Anatomyandfunctionofpelvicfloor.2．Understandthedefinition,etiology,symp
3、toms,physicalexamination,andthePOPquantificationandstagingsystemofpelvicorganprolapse..3．Understandtheprincipleoftreatmentforpelvicorganprolapse.4．Understandthedefinitionofstressurinaryincontinenceandurgenturinaryincontinence,andthephysicalexaminatio
4、nandtestsofstressurinaryincontinence.5．Understandtheprincipleoftreatmentoflowerurinarytractdisorders.三．TeachingPlanandTimeDistribution（一）ContentsandtimeplannTheanatomyandfunctionofpelvicfloor10minPelvicSupports9•Levatoranimuscles•Levatorhiatusandurog
5、enitaldiaphragm•Theendopelvicfascia•Ligamentligaments(i.e.,pubourethral,cardinal,anduterosacralligaments)Pelvicfloor3compartmentsAnteriorcompartment(bladderandurethra)Middlecompartment(vaginaanduterus)Posteriorcompartment(anorectus)3levelsofsupport•L
6、evel1-ApicalSupportSuperiorsuspensionofthevaginatothecardinal-uterosacralcomplex•Level2—LateralSupportLateralattachmentoftheupper2/3ofthevagina(Levatorani)•Level3–distalsupportFusionofthevaginaintotheurogenitaldiaphragmandperinealbodynPelvicFloorDysf
7、unction,PFD5min--Theimpairofthepelvicsupportingsystemleadtothedownwarddisplacementofthepelvicorgansfromitsnormallocationandabnormalfunctionoftheorgans.PelvicOrganProlapse,POPUrinaryIncontinencenPelvicOrganProlapse,POP45minDefinition：Bulgeorprotrusion
8、ofpelvicorgansandtheirassociatedvaginalsegmentsintoorthroughthevagina.Etiology9PregnantandlaborThepelvicfascia,ligaments,andmusclesmaybecomeattenuatedfromexcessivestretchingduringpregnancy,labor,anddifficultvaginaldelivery,especiallywithforcepsorvacu
