阴道全封闭术治疗老年女性盆腔器官脱垂的疗效

目的 分析老年女性盆腔器官脱垂(POP)患者实施阴道全封闭术的临床疗效及安全性.方法 选取2012年1月至2018年1月在佛山市妇幼保健院妇科住院治疗、盆腔器官脱垂分期法(POP-Q)评定为Ⅲ～Ⅳ期、并接受阴道全封闭术治疗的78例老年POP患者.所有患者治疗后进行1年随访观察,记录术前和术后POP-Q分期情况.分析患者...

Efficacy of total colpocleisis in treatment of pelvic organ prolapse in elderly women

Objective To investigate the efficacy and safety of total colpocleisis in treatment of elderly women with pelvic organ prolapse(POP).Methods A total of 78 elderly women with POP quantification(POP-Q)stage ofⅢ-Ⅳundergoing total colpocleisis in gynecologic department of Foshan Maternal and Child Health Hospital from January 2012 to January 2018 were recruited in this study.All patients were followed up for 1 year,and preoperative and postoperative POP-Q stages,pelvic symptoms and satisfaction were recorded and analyzed.Preoperative and postoperative quality of life were evaluated using the pelvic floor distress inventory short form-20(PFDI-20)including urinary distress inventory-6(UDI-6),colorectal-anal distress inventory-8(CRADI-8),pelvic organ prolapse distress inventory-6(POPDI-6)]and pelvic floor impact questionnaire-7(PFIQ-7).Chi-square test was used to compare the preoperative and postoperative POP symptoms,and student′s t test was applied to compare the life quality between preoperation and post-operation.Results The overall efficacy was 98.71%(≤stageⅠ),and 1 case experienced recurrence(≥stageⅡ).POP symptoms,such as vulvar mass prolapse,pelvic distension,frequent urination and urgent to urinate,dysuria,stress urinary incontinence,and defecation difficulty were significantly reduced postoperation(P<0.05).The subjective satisfaction was 100%.The points of PFDI-20(UDI-6,CRADI-8,POPDI-6)and PFIQ-7 preoperatively were significantly lower than those preoperatively,with statistical differences(P<0.05).Conclusion Total colpocleisis can significantly decrease the POP-Q stage and pelvic symptoms,and obtain postoperative satisfaction and quality of life in elderly POP patients.