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中华疝和腹壁外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (02) : 233 -237. doi: 10.3877/cma.j.issn.1674-392X.2026.02.019

综述

阴道封闭术治疗盆腔器官脱垂的研究进展
马懿迪, 王素美()   
  1. 100020 首都医科大学附属北京朝阳医院妇产科
  • 收稿日期:2026-03-03 出版日期:2026-04-18
  • 通信作者: 王素美

Research progress in the treatment of pelvic organ prolapse with vaginal colpocleisis: A review

Yidi Ma, Sumei Wang()   

  1. Department of Obstetrics and Gynecology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
  • Received:2026-03-03 Published:2026-04-18
  • Corresponding author: Sumei Wang
引用本文:

马懿迪, 王素美. 阴道封闭术治疗盆腔器官脱垂的研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2026, 20(02): 233-237.

Yidi Ma, Sumei Wang. Research progress in the treatment of pelvic organ prolapse with vaginal colpocleisis: A review[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(02): 233-237.

盆腔器官脱垂(POP)作为一种常见妇科盆底疾病,其患病率随着人口老龄化逐年上升。阴道封闭术作为治疗老年重度POP的有效手术方法之一,具有手术时间短、手术成功率高、并发症发生率相对较低且患者满意度较高的特点。但阴道封闭术后患者失去阴道性交功能,仅适用于不需保留性交功能的女性,因而术前和术后需对患者进行充分评估及随访。本文旨在评估阴道封闭术对患者的生活质量、身体形象及性生活的影响,以及对术后后悔率、术后并发症情况进行总结。总结文献研究发现,阴道封闭术可改善患者生活质量、身体形象,但需要严格筛选患者,尤其需要关注膀胱和肠道症状。

Pelvic organ prolapse (POP), as a common gynecological pelvic floor disorder, has been increasing in prevalence year by year with population aging. Vaginal colpocleisis, as one of the effective surgical approaches for treating severe POP in elderly women, is characterized by a short operative time, a high surgical success rate, a relatively low incidence of complications, and a high level of patient satisfaction. However, after vaginal colpocleisis, patients lose vaginal coital function; therefore, this procedure is only suitable for women who do not need to preserve sexual function. Accordingly, adequate preoperative assessment and postoperative follow-up are required. This review aims to evaluate the effects of vaginal colpocleisis on patients’ quality of life, body image, and sexual life, as well as to summarize the postoperative regret rate and postoperative complications. A review of the literature indicates that vaginal colpocleisis can improve patients’ quality of life and body image, but patient selection should be strictly controlled, with particular attention to bladder and bowel symptoms.

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