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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,etiologyanddiagnosisofpelvicorganpro
2、lapse.3.Familiarwiththedefinitionofstressurinaryincontinence.4.Acknowledgingthephysicalexaminationandtestsofstressurinaryincontinence.二．Contentsofcourses1．Anatomyandfunctionofpelvicfloor.2．Understandthedefinition,etiology,symptoms,physicalexamination,andthePOPquantification
3、andstagingsystemofpelvicorganprolapse..3．Understandtheprincipleoftreatmentforpelvicorganprolapse.4．Understandthedefinitionofstressurinaryincontinenceandurgenturinaryincontinence,andthephysicalexaminationandtestsofstressurinaryincontinence.5．Understandtheprincipleoftreatment
4、oflowerurinarytractdisorders.三．TeachingPlanandTimeDistribution（一）ContentsandtimeplannTheanatomyandfunctionofpelvicfloor10minPelvicSupports9•Levatoranimuscles•Levatorhiatusandurogenitaldiaphragm•Theendopelvicfascia•Ligamentligaments(i.e.,pubourethral,cardinal,anduterosacrall
5、igaments)Pelvicfloor3compartmentsAnteriorcompartment(bladderandurethra)Middlecompartment(vaginaanduterus)Posteriorcompartment(anorectus)3levelsofsupport•Level1-ApicalSupportSuperiorsuspensionofthevaginatothecardinal-uterosacralcomplex•Level2—LateralSupportLateralattachmento
6、ftheupper2/3ofthevagina(Levatorani)•Level3–distalsupportFusionofthevaginaintotheurogenitaldiaphragmandperinealbodynPelvicFloorDysfunction,PFD5min--Theimpairofthepelvicsupportingsystemleadtothedownwarddisplacementofthepelvicorgansfromitsnormallocationandabnormalfunctionofthe
7、organs.PelvicOrganProlapse,POPUrinaryIncontinencenPelvicOrganProlapse,POP45minDefinition：Bulgeorprotrusionofpelvicorgansandtheirassociatedvaginalsegmentsintoorthroughthevagina.Etiology9PregnantandlaborThepelvicfascia,ligaments,andmusclesmaybecomeattenuatedfromexcessivestret
8、chingduringpregnancy,labor,anddifficultvaginaldelivery,especiallywithforcepsorvacu
