Guidelines for the diagnosis and treatment of uterine prolapse with traditional Chinese medicine (revised): a protocol_Chinese Journal of Evidence-Based Medicine

Authors：

XU Kaikai ^1,2 , ZHANG Han ^1,2 , CHU Mengyuan ^1,2 , YANG Jiaqi ^1,2 ,  YAN Ying ^1,2

1. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300073, P. R. China;
2. National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300073, P. R. China;

Corresponding author：

YAN Ying, Email: yanying799@163.com

Keywords：

Uterine prolapse; Traditional Chinese medicine; Diagnosis; Treatment; Guideline protocol

DOI：

10.7507/1672-2531.202401169

Video：

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In order to standardize and improve the level of TCM diagnosis and treatment of uterine prolapse, the Gynecology Branch of China Association of Traditional Chinese Medicine and the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine took the lead in initiating the revision of the "Guidelines for the TCM Diagnosis and Treatment of Uterine Prolapse". Based on the existing relevant literature, the guideline revision working group strictly abides by the principles and steps of evidence-based guideline revision, and establishes a multi-disciplinary and multi-field expert team to standardize the guideline revision work. This plan focuses on the necessity of guideline revision, the establishment and division of labor of the guideline project team, the determination of clinical problems, the screening and evaluation of evidence, and the formation of recommendations.

1.	Voelker R. What Is Uterine Prolapse. JAMA, 2024, 331(7): 624.
2.	Fatton B, de Tayrac R, Letouzey V, et al. Pelvic organ prolapse and sexual function. Nat Rev Urol, 2020, 17(7): 373-390.
3.	Genc M, Celik E, Eskicioglu F, et al. The relationship between uterine prolapse and premalignant endometrial pathology. Clin Exp Obstet Gynecol, 2016, 43(4): 500-503.
4.	中华医学会妇产科学分会妇科盆底学组. 盆腔器官脱垂的中国诊治指南(2020年版). 中华妇产科杂志, 2020, 55(5): 300-306.
5.	van der Vaart LR, Vollebregt A, Milani AL, et al. Effect of pessary vs surgery on patient-reported improvement in patients with symptomatic pelvic organ prolapse: a randomized clinical trial. JAMA, 2022, 328(23): 2312-2323.
6.	Wang J, Shang X, Huang J, et al. Effect of different surgical techniques on postoperative wound infection in patients with uterine prolapse: a meta-analysis. Int Wound J, 2024, 21(1): e14588.
7.	中华中医药学会. 中医妇科常见病诊疗指南. 北京: 中国中医药出版社, 2012: 66.
8.	World Health Organization. WHO handbook for guideline development-2nd ed. Geneva: WHO Press, 2014.
9.	杨克虎, 译. 世界卫生组织指南制定手册. 兰州: 兰州大学出版社, 2013.
10.	Holger JS, Wojtek W, Itziar E, 等. 指南2.0: 为成功制定指南而系统研发的全面清单. 中国循证医学杂志, 2014, 14(9): 1135-1149.
11.	陈耀龙, 罗旭飞. 临床实践指南的制定方法与步骤. 中华传染病杂志, 2019, 37(9): 523-526.
12.	Brouwers MC, Kerkvliet K, Spithoff K, et al. The AGREE reporting checklist: a tool to improve reporting of clinical practice guidelines. BMJ, 2016, 352: i1152.
13.	Song Y, Alonso-Coello P, Ballesteros M, et al. A reporting tool for adapted guidelines in health care: the RIGHT-Ad@pt checklist. Ann Intern Med, 2022, 175(5): 710-719.
14.	Harada T, Abe T, Kato F, et al. Five-point Likert scaling on MRI predicts clinically significant prostate carcinoma. BMC Urol, 2015, 15: 91.
15.	Shea BJ, Grimshaw JM, Wells GA, et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol, 2007, 7: 10.
16.	Higgins JP, Altman DG, Gøtzsche PC, et al. The Cochrane collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
17.	Wells GA, Shea B, O'connelld, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2016.
18.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
19.	王娅丹, 李娜, 肖天龄. 盆底康复治疗对中重度子宫脱垂术后盆底肌功能的影响. 中国医药科学, 2023, 13(4): 99-101, 105.
20.	Mcleod LJ, Lee PE. Pelvic organ prolapse. CMAJ, 2023, 195(30): E1013.
21.	Peinado-Molina RA, Hernández-Martínez A, Martínez-Vázquez S, et al. Pelvic floor dysfunction: prevalence and associated factors. BMC Public Health, 2023, 23(1): 2005.
22.	陈宣蓉, 王静, 徐淑颖, 等. 子宫脱垂的非手术疗法研究进展. 实用中医内科杂志, 2023, (9): 1-6.
23.	何欣, 汪汐, 龙子临, 等. 针灸疗法治疗子宫脱垂的诊疗特点. 中华中医药杂志, 2023, 38(11): 5529-5533.
24.	邬开会, 邬霞, 邬洪明, 等. 补中益气汤联合电刺激生物反馈对初产妇早期盆底功能康复的疗效评价. 中国康复医学杂志, 2020, 35(9): 1082-1085.
25.	赵琪琳. 针药并用联合生物电刺激治疗肾气虚型子宫脱垂的临床观察. 济南: 山东中医药大学, 2018.
26.	王颖巨, 吕梦奕, 丁彩飞, 等. 针灸治疗子宫脱垂Meta分析. 浙江中西医结合杂志, 2022, 32(4): 373-376.
27.	刘倩茹. 温针灸与生物反馈电刺激治疗Ⅰ-Ⅱ度子宫脱垂患者的疗效对比观察. 长沙: 湖南中医药大学, 2022.
28.	中华医学会妇产科学分会妇科盆底学组. 盆腔器官脱垂的中国诊治指南(草案). 中华妇产科杂志, 2014, 49(9): 647-651.

1. Voelker R. What Is Uterine Prolapse. JAMA, 2024, 331(7): 624.
2. Fatton B, de Tayrac R, Letouzey V, et al. Pelvic organ prolapse and sexual function. Nat Rev Urol, 2020, 17(7): 373-390.
3. Genc M, Celik E, Eskicioglu F, et al. The relationship between uterine prolapse and premalignant endometrial pathology. Clin Exp Obstet Gynecol, 2016, 43(4): 500-503.
4. 中华医学会妇产科学分会妇科盆底学组. 盆腔器官脱垂的中国诊治指南(2020年版). 中华妇产科杂志, 2020, 55(5): 300-306.
5. van der Vaart LR, Vollebregt A, Milani AL, et al. Effect of pessary vs surgery on patient-reported improvement in patients with symptomatic pelvic organ prolapse: a randomized clinical trial. JAMA, 2022, 328(23): 2312-2323.
6. Wang J, Shang X, Huang J, et al. Effect of different surgical techniques on postoperative wound infection in patients with uterine prolapse: a meta-analysis. Int Wound J, 2024, 21(1): e14588.
7. 中华中医药学会. 中医妇科常见病诊疗指南. 北京: 中国中医药出版社, 2012: 66.
8. World Health Organization. WHO handbook for guideline development-2nd ed. Geneva: WHO Press, 2014.
9. 杨克虎, 译. 世界卫生组织指南制定手册. 兰州: 兰州大学出版社, 2013.
10. Holger JS, Wojtek W, Itziar E, 等. 指南2.0: 为成功制定指南而系统研发的全面清单. 中国循证医学杂志, 2014, 14(9): 1135-1149.
11. 陈耀龙, 罗旭飞. 临床实践指南的制定方法与步骤. 中华传染病杂志, 2019, 37(9): 523-526.
12. Brouwers MC, Kerkvliet K, Spithoff K, et al. The AGREE reporting checklist: a tool to improve reporting of clinical practice guidelines. BMJ, 2016, 352: i1152.
13. Song Y, Alonso-Coello P, Ballesteros M, et al. A reporting tool for adapted guidelines in health care: the RIGHT-Ad@pt checklist. Ann Intern Med, 2022, 175(5): 710-719.
14. Harada T, Abe T, Kato F, et al. Five-point Likert scaling on MRI predicts clinically significant prostate carcinoma. BMC Urol, 2015, 15: 91.
15. Shea BJ, Grimshaw JM, Wells GA, et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol, 2007, 7: 10.
16. Higgins JP, Altman DG, Gøtzsche PC, et al. The Cochrane collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
17. Wells GA, Shea B, O'connelld, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2016.
18. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
19. 王娅丹, 李娜, 肖天龄. 盆底康复治疗对中重度子宫脱垂术后盆底肌功能的影响. 中国医药科学, 2023, 13(4): 99-101, 105.
20. Mcleod LJ, Lee PE. Pelvic organ prolapse. CMAJ, 2023, 195(30): E1013.
21. Peinado-Molina RA, Hernández-Martínez A, Martínez-Vázquez S, et al. Pelvic floor dysfunction: prevalence and associated factors. BMC Public Health, 2023, 23(1): 2005.
22. 陈宣蓉, 王静, 徐淑颖, 等. 子宫脱垂的非手术疗法研究进展. 实用中医内科杂志, 2023, (9): 1-6.
23. 何欣, 汪汐, 龙子临, 等. 针灸疗法治疗子宫脱垂的诊疗特点. 中华中医药杂志, 2023, 38(11): 5529-5533.
24. 邬开会, 邬霞, 邬洪明, 等. 补中益气汤联合电刺激生物反馈对初产妇早期盆底功能康复的疗效评价. 中国康复医学杂志, 2020, 35(9): 1082-1085.
25. 赵琪琳. 针药并用联合生物电刺激治疗肾气虚型子宫脱垂的临床观察. 济南: 山东中医药大学, 2018.
26. 王颖巨, 吕梦奕, 丁彩飞, 等. 针灸治疗子宫脱垂Meta分析. 浙江中西医结合杂志, 2022, 32(4): 373-376.
27. 刘倩茹. 温针灸与生物反馈电刺激治疗Ⅰ-Ⅱ度子宫脱垂患者的疗效对比观察. 长沙: 湖南中医药大学, 2022.
28. 中华医学会妇产科学分会妇科盆底学组. 盆腔器官脱垂的中国诊治指南(草案). 中华妇产科杂志, 2014, 49(9): 647-651.

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