多学科协作在盆底功能障碍性疾病诊疗中的价值  

Role of multidisciplinary cooperation in the diagnosis and treatment of pelvic floor disorder disease

作　　者：刘新志 武爱文[1] Liu Xinzhi;Wu Aiwen(Unit III,Gastrointestinal Cancer Center,Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education),Peking University Cancer Hospital&Institute,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所恶性肿瘤发病机制及转化研究教育部重点实验室胃肠肿瘤中心三病区,100142

出　　处：《中华胃肠外科杂志》2021年第4期306-309,共4页Chinese Journal of Gastrointestinal Surgery

基　　金：北京市医院管理中心临床医学发展专项(ZYLX202116)。

摘　　要：盆底功能障碍性疾病(PFDD)是盆底支持组织缺陷或损伤性疾病,是以尿失禁、盆腔器官脱垂、性功能障碍、排粪失禁、慢性盆腔疼痛等为核心症状的一系列疾患。由于PFDD病因病情复杂,涉及多个器官和多个系统,为探寻患者的最佳诊疗模式,需要不同领域的专家共同协作。目前国外已发展出提供盆底功能服务的盆底中心,但国内针对PFDD的多学科团队(MDT)交叉融合起步较晚,发展较缓慢。已有证据证实,在MDT管理模式下,PFDD患者的功能恢复、心理状态和生活质量均可获得较大改善。但目前对于PFDD的MDT诊治模式,国内外还没有统一的标准,MDT团队的人员构成、职责、培训和运营模式等有待成熟。完善MDT团队成员管理模式,建立规范化的培训方案及评价指标是PFDD的MDT诊治模式未来发展的重点。The pelvic floor disorder disease(PFDD)typically originates from supportive tissue defects or injuries in the pelvic floor with a wide spectrum of symptoms such as urinary incontinence,pelvic organ prolapse,sexual dysfunction,fecal incontinence and chronic pelvic pain.But its etiology is complex,involving multiple systems and organs.So the best management of PFDD requires the implementation of multidisciplinary team(MDT).Pelvic floor centers have been developed abroad to provide pelvic floor services.In the setting of PFDD,the concept of MDT starts lately and develops slowly in China.The MDT approach was demonstrated to improve general rehabilitation,psychological state and quality of life.However,there is no unified standardization for MDT diagnosis and treatment of PFDD at home and abroad.Meanwhile,the personnel composition,responsibilities,training,and operation mode of the MDT need to be further developed.Perfecting the management mode of MDT team members,establishing standardized training programs and assessment criteria play crucial role in the future development of MDT in PFDD.

关 键 词：盆底功能障碍性疾病 多学科团队协作 器官功能保护 

分 类 号：R711.5[医药卫生—妇产科学]