中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2021, Vol. 37 ›› Issue (12): 1194-1198.DOI: 10.19538/j.fk2021120106

• 专题笔谈 • 上一篇    下一篇

阴道半封闭术对老年盆腔器官脱垂患者的治疗作用

  

  1. 郑州大学第二附属医院妇产科，河南 郑州 450014
  • 出版日期:2021-12-02 发布日期:2021-12-02
  • 通讯作者: 王武亮
  • 基金资助:
    河南省医学科技攻关计划联合共建项目（LHGJ20210403）

Therapeutic effect of LeFort partial colpocleisis on elderly patients with pelvic organ prolapse. 

  1. Department of Obstetrics and Gynecology，the Second Affiliated Hospital of Zhengzhou University，Zhengzhou 450014，China
  • Online:2021-12-02 Published:2021-12-02

摘要： 阴道半封闭术又称LeFort手术，对于高龄体弱、耐受手术能力差、不要求保留阴道功能的重度盆腔器官脱垂（pelvic organ prolapse，POP）患者是一种重要的术式。该术式简便、安全、经济，有着独有的优势和不可或缺的地位，此经典的术式术后有一定复发率，并有新发尿失禁等并发症的发生，王武亮教授团队针对LeFort手术存在的问题进行技术改进，创新性地应用基于阴道黏膜下筋膜加固的改良阴道半封闭手术方案，主、客观治愈率高，并发症少，值得推广。

关键词: 阴道半封闭术, 盆腔器官脱垂

Abstract: LeFort partial colpocleisis is an important surgical procedure for the elderly patients with severe pelvic organ prolapse（POP）who are infirm，have poor ability to tolerate surgery and do not require the preservation of sexual function.The operation is simple，safe and economical，and has unique advantages and indispensable status. This classic operation has a certain recurrence rate and complications such as de novo urinary incontinence after surgery. WANG Wu-liang's team made technical improvements in view of the problems existing in LeFort surgery，and innovatively applied the modified LeFort partial colpocleisis based on the reinforcement of pubocervical fascia and rectovaginal fascia，which had high subjective and objective cure rates and fewer complications and was worth recommending.

Key words: LeFort partial colpocleisis, pelvic organ prolapse

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