目的:探讨保留子宫全盆底悬吊术治疗盆腔脏器脱垂的可行性、安全性和疗效。方法:回顾性分析2009年10月～2011年4月舟山市妇幼保健院收治的中老年女性盆腔器官脱垂患者25例,应用聚丙烯网片对子宫主韧带、骶韧带、阴道前后壁、膀胱宫颈韧带进行全盆底悬吊,合并有压力性尿失禁的患者同时进行尿道中段无张力悬吊术。并根据国际尿控协会制定的盆腔器官脱垂定量(POP-Q)分度法评价手术效果,并定期随访。结果:25例患者手术全部经阴道顺利完成,术后恢复良好,无感染发生。患者子宫脱垂、阴道前后壁膨出等症状全部得到改善。术后随访平均12个月,所有患者的盆底结构基本正常,无复发,相关症状明显改善或消失,生活质量明显提高,主观和客观治愈率均为100.0%。结论:保留子宫全盆底悬吊术是一种切实可行的治疗中老年妇女盆腔脏器脱垂微创手术方法,短期疗效较好。 Objective: To investigate the feasibility, safety and efficacy of preserving pelvic organ prolapse with pelvic suspensions. Methods: A retrospective analysis of 25 cases of pelvic organ prolapse in middle-aged and elderly women admitted to Zhoushan Maternal and Child Health Hospital from October 2009 to April 2011 was performed. Polypropylene mesh was used to evaluate the clinical effect of the main ligaments of the uterus, sacral ligaments, anterior vagina, Cervical ligament for pelvic floor suspension, combined with stress urinary incontinence in the middle of the urethral tension-free suspension. According to the International Association of Urine Control and pelvic organ prolapse quantitative (POP-Q) index method to evaluate the surgical effect, and regular follow-up. Results: Twenty-five patients underwent transvaginal surgery successfully. The postoperative recovery was good and no infection occurred. Patients with uterine prolapse, vaginal anterior and posterior wall bulging and other symptoms are all improved. All patients were followed up for an average of 12 months. The pelvic floor structures of all patients were basically normal without relapse, and the related symptoms were improved or disappeared. The quality of life was significantly improved. The subjective and objective cure rates were 100.0%. Conclusion: It is a feasible and feasible method for minimally invasive surgery for pelvic organ prolapse in middle-aged and elderly women, and the short-term curative effect is better.