论文部分内容阅读
目的探讨盆腔器官脱垂(POP)患者采用Prolift全盆底重建术治疗疗效,并观察其对患者生活质量的改善效果。方法回顾性分析长安医院2011年6月至2013年6月收治的160例POP患者临床病历资料,按照随机抽签法分为对照组(传统阴式子宫切除联合阴道前后壁修补术)与观察组(Prolift全盆底重建术),各80例。观察两组手术时间、术中出血量及导尿管保留时间、住院时间;随访2年,统计两组术后复发人数,并采用盆底功能影响问卷简表(PFIQ-7)、盆底不适调查表简表(PFDI-20)及POP-尿失禁性生活问卷(PISQ)评价患者临床疗效及对其生活质量的影响。结果观察组手术时间、术中出血量及导尿管保留时间、住院时间均少于对照组(P均<0.01);随访期间无失访者,观察组2年复发率为0明显低于对照组17.5%(χ~2=15.34,P<0.01)。两组患者术后2年PFIQ、PFDI评分较治疗显著下降,且观察组优于对照组(P均<0.01)。观察组术前性生活者15例,术前PISQ评分(66.1±7.9)分与术后2年(65.8±7.6)分比较,差异无统计学意义(P>0.05)。对照组术前性生活者14例,术后12例因手术原因而拒绝性生活。结论应用Prolift全盆底重建术疗效显著且改善患者生活质量。
Objective To investigate the therapeutic effect of Prolift pelvic floor reconstruction in patients with pelvic organ prolapse (POP) and to observe its effect on improving the quality of life of patients. Methods A retrospective analysis of clinical data of 160 cases of POP patients admitted to Chang’an Hospital from June 2011 to June 2013 was divided into control group (conventional vaginal hysterectomy plus vaginal anterior and posterior wall repair) and observation group ( Prolift pelvic floor reconstruction), each 80 cases. The operation time, intraoperative blood loss, catheter retention time and hospital stay were observed. The patients were followed up for 2 years, the number of postoperative recurrence was calculated, and pelvic floor function questionnaire (PFIQ-7) (PFDI-20) and POP-urinary incontinence life questionnaire (PISQ) were used to evaluate the clinical efficacy and the impact on the quality of life of patients. Results The operation time, intraoperative blood loss, catheter retention time and hospital stay in the observation group were all less than those in the control group (all P <0.01). In the follow-up period, the 2-year recurrence rate in the observation group was significantly lower than that in the control group Group 17.5% (χ ~ 2 = 15.34, P <0.01). The PFIQ and PFDI scores decreased significantly in both groups after 2 years of operation compared with those in the control group (all P <0.01). There were 15 cases of preoperative sex life in the observation group, the preoperative PISQ score (66.1 ± 7.9) points compared with 2 years (65.8 ± 7.6) points after operation, the difference was not statistically significant (P> 0.05). Control group, 14 cases of preoperative sex life, postoperative 12 patients refused to sex because of surgical reasons. Conclusion The application of Prolift pelvic floor reconstruction has significant effect and improves the quality of life of patients.