改良阴道部分封闭术治疗老年女性盆腔脏器脱垂的临床疗效观察

目的探讨患有重度盆腔脏器脱垂的老年妇女行阴道部分封闭术＋阴道后壁修补术的临床疗效。方法对近十年来本院妇科收治的42例75岁以上有内科合并症的重度盆腔脏器脱垂妇女，术前评估难以耐受子宫切除且排除子宫宫颈病变，及无性生活要求的患者，行阴道部分封闭术＋阴道后壁修补术。结果42例患者盆腔脏器脱垂得以纠正，尿失禁、排尿排便困难得以改善。结论对于有内科疾患的重度盆腔脏器脱垂老年妇女，阴道部分封闭术＋阴道后壁修补术可改善患者术后的生活质量，手术安全，疗效肯定。

Clinical effect observation of improved vaginal partial closure operation for pelvic organ prolapse of elderly female

Objective To investigate the clinical effect of vaginal partial closure operation plus colporrhaphia posterior for elderly female with severe pelvic organ prolapse. Methods Forty two female patients over 75 year of age with se- vere pelvic organ prolapse and medical complications treated in our hospital over the past decade were selected, pre- operatively evaluated difficult to tolerate hysterectomy, excluded uterine cervical lesions, no requirement of sexual life and given operation of vaginal partial closure and colporrhaphia posterior. Results Forty two patients with pelvic organ prolapse were cured; their uroclepsia, urination and defecation difficulties were also improved. Conclusion For elderly female with severe pelvic organ prolapse and medical complications, vaginal partial closure operation plus colpor- rhaphia posterior can improve the postoperative life quality of patients, be performed safely, and has exact effect.