摘要人口老龄化已呈全球趋势。据统计,到2010年,美国将有4000万人超过65岁,600万人超过85岁,且多数为女性[1]。随着老龄人口的增加,盆腔器官脱垂（pelvic organ prolapse,POP）和尿失禁（uri-nary inconyinence,UI）的发病率也在相应增加。对高龄、体弱,伴严重内科合并症,
1US Government Federal Interagency Forum on Aging Related Statistics. Older Americans 2000: key indicatorsof wellbeing[ R ]. Washington, DC:U. S. Government print- ing office ,2000.
2FitzGerald MP, Richer HE, Siddique S, et al. Colpocleisis : a review[ J]. Int Urogynecol J,2006,17:261-271.
3DeLancey JOL, Morley GW. Total eolpoeleisis for vaginal eversion [ J ]. Am J Obstet Gynecol, 1997,176 : 1228-1235.
4Fitzgerald MP, Richter HE, Bradley CS, et al. Pelvic sup- port, pelvic symptoms, and patient satisfaction after colpo- cleisis [ J]. Int Urogynecol J,2008,19 : 1603-1609.
5Glavind K, Kempf L. Colpeetomy or LeFort colpoeleisisa good option in selected elderly patients [ J ]. Int Urogyne- col J,2005,16:48-51.
7Agarwala N, Hasiak N, Shade M. Graft interposition colpo- cleisis, perineorrhaphy, and tension-free sling for pelvic organ prolapse and stress urinary incontinence in elderlypatients [ J ]. J Minim Invasive Gyneco1,2007 ,14 :740-745.
8Von Pechmann WS, Mutone M, Fyffe J, et al. Total colpocleisis with high levator placation for the treatment of ad- vanced pelvic organ prolapse[J]. Am J Obstet Gynecol, 2003,189 : 121-126.
9Roth TM. Pyometra and recurrent prolapse after LeFort colpocleisis [ J ]. Int Urogynecol J, 2007,18:687-688.
10Fitzgerald MP, Kulkarni N, Fenner D. Postoperative reso- lution of urinary retention in patients with advanced pel- vic organ prolapse[ J]. Am J Obstet Gynecol,2000,183 : 1361-1364.
二级参考文献21
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