Section of Urogynecology and Reconstructive Pelvic Surgery, Department of Gynecology, Cleveland Clinic Florida, Weston, Florida.
Obstet Gynecol. 2013 Feb;121(2 Pt 1):279-284. doi: 10.1097/AOG.0b013e31827d8fdb.
To report on anatomical and functional outcomes, patient satisfaction, and associated morbidity and mortality in patients undergoing LeFort colpocleisis.
This was a retrospective case series of LeFort colpocleisis performed from January 2000 to October 2011. Data obtained from a urogynecologic database included demographics, comorbidities, medications, and urinary and bowel symptoms. Prolapse was quantified using the pelvic organ prolapse quantification (POP-Q) examination. Operative characteristics were recorded. All patients underwent pelvic examination and POP-Q assessment at follow-up visits. Patients also were asked about urinary and bowel symptoms as well as overall satisfaction. All intraoperative and postoperative surgical complications were recorded.
Three hundred twenty-five patients underwent LeFort colpocleisis. Fifteen patients were excluded from the analysis because of incomplete data. The mean age was 81.3±5.3 years. Comorbidities were common, with 74.1% of the patients having at least one concomitant medical condition. The procedure was performed under spinal anesthesia in 67%. Additional procedures at the time of colpocleisis included incontinence procedures (79%) and dilation and curettage (46%). Mean follow-up was 45 (range 2-392) weeks. Anatomical success rate was 98.1% and patients were highly satisfied, with 92.9% reported being "cured" or "greatly improved." Complication and mortality rates were 15.2% and 1.3%, respectively.
Colpocleisis is an effective and low-risk procedure with high anatomical success rates and patient satisfaction. Associated morbidity and mortality related to the procedure are low. Colpocleisis remains an excellent surgical option for the elderly patient with advanced pelvic organ prolapse.
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报告行阴道封闭术（LeFort colpocleisis）患者的解剖学和功能结果、患者满意度以及相关发病率和死亡率。
这是一项回顾性病例系列研究，纳入了 2000 年 1 月至 2011 年 10 月期间行 LeFort colpocleisis 的患者。从尿妇科数据库中获取的数据包括人口统计学特征、合并症、药物使用情况以及尿便症状。使用盆腔器官脱垂定量（POP-Q）检查评估脱垂程度。记录手术特点。所有患者在随访时均接受盆腔检查和 POP-Q 评估。患者还被询问尿便症状和总体满意度。记录所有术中及术后手术并发症。
325 例患者行 LeFort colpocleisis。由于数据不完整，15 例患者被排除在分析之外。平均年龄为 81.3±5.3 岁。合并症常见，74.1%的患者至少有 1 种合并疾病。67%的患者在脊髓麻醉下进行手术。阴道封闭术时同时进行的其他手术包括控尿手术（79%）和扩张刮宫术（46%）。平均随访时间为 45（范围 2-392）周。解剖成功率为 98.1%，患者非常满意，92.9%的患者报告“治愈”或“极大改善”。并发症和死亡率分别为 15.2%和 1.3%。
阴道封闭术是一种有效且低风险的手术，具有较高的解剖成功率和患者满意度。与手术相关的发病率和死亡率较低。阴道封闭术仍然是治疗老年晚期盆腔器官脱垂患者的极佳手术选择。
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