中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

老年盆腔器官脱垂的治疗原则及术式选择

宋岩峰   

  1. 作者单位:南京军区福州总医院妇产科,福建 福州 350025
  • 出版日期:2015-04-02 发布日期:2015-04-02

Principles and choice of operation methods in the treatment of pelvic organ prolapsed in the old.

SONG Yan-feng.   

  1. Department of Obstetrics and Gynecology, Fuzhou General Hospital,Fuzhou 350025, China
  • Online:2015-04-02 Published:2015-04-02

摘要:

盆腔器官脱垂(POP)是多种病因导致的盆底支持组织薄弱所引发的疾病,发病率随年龄的增长而逐渐升高。老年患者属于特殊人群,许多因素影响其治疗选择,如年龄、全身状况,是否保留性功能、脱垂类型、程度、相应的尿道、肠道症状等。妇科医生必须充分了解和评估手术风险及治疗结果,才能选择合适的治疗方式。子宫托是国际上推荐的一线保守治疗老年子宫阴道脱垂的方法。阴道封闭术由于手术时间短、恢复快、出血量少等优点,广泛应用于老年重度POP患者的手术治疗。

关键词: 盆腔器官脱垂, 老年, 阴道封闭术

Abstract:

Abstract:Pelvic organ prolapse is the descent or herniation of pelvic organs to or beyond vaginal walls. As age is a significant risk factor, pelvic organ prolapse is particularly prevalent in elderly population. Many factors affect the treatment scheme including age, urinary and rectal symptoms, the desire to maintain or restore vaginal anatomy to accommodate sexual intercourse,and so on. A detailed preoperative assessment and a thorough discussion of the desires of the patient are required. Pessaries are internationally recommended first-line conservative treatment in elderly patients with POP.With the advantage of short operative time, reduced morbidity and quicker recovery, colpocleisis has become a popular treatment option for elderly patients, especially those with higher risks because of comorbidities.

Key words: pelvic organ prolapse;elder patients, colpocleisis

中图分类号: