盆底肌肉康复训练联合盆底重建术治疗盆底功能障碍性疾病临床研究  

Clinical study of pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction in treatment of pelvic floor dysfunction

作　　者：韩炜[1] 郑婷华 蒋维[1] 陈宝丽[1] 刘迎军[1] 

机构地区：[1]唐山市妇幼保健院,河北唐山063000

出　　处：《中国妇幼保健》2017年第1期163-166,共4页Maternal and Child Health Care of China

基　　金：河北省医学科学研究重点课题计划(20160827)

摘　　要：目的探讨盆底肌肉康复训练联合盆底重建术治疗女性盆底功能障碍性疾病的临床效果。方法选取212例盆底功能障碍性疾病患者为观察对象,按照随机数字表法分为观察组108例和对照组104例,观察组患者接受盆底肌肉康复训练联合盆底重建术。对照组患者接受盆底肌肉康复训练联合腹腔镜下高位骶韧带悬吊术。比较两组患者治疗前后的盆腔器官脱垂定量(PDF-Q)分度情况评价手术效果,调查盆底功能障碍问卷(PFDI-20)评分评定疗效,于术后3、6个月时门诊复查测定盆底肌力,对患者恢复情况进行综合评价。结果治疗后两组患者PDF-Q分度较治疗前均明显改善(P<0.05),且观察组患者术后3、6个月的PDF-Q分度均明显优于对照组(P<0.05);治疗后两组患者的PFDI-20评分较治疗前显著降低,观察组患者术后6个月的PFDI-20评分明显低于对照组(P<0.05);治疗后两组盆底肌力均明显提升,观察组患者术后3、6个月的盆底肌力均显著优于对照组(P<0.05)。结论盆底肌肉康复训练联合盆底重建术治疗盆底功能障碍性疾病疗效确切,患者盆底肌力恢复时间短,有助于改善生活质量,值得临床推广应用。Objective To explore the clinical effect of pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction in treatment of female pelvic floor dysfunction.Methods A total of 212 patients with pelvic floor dysfunction were enrolled.According to random number table,the patients were divided into observation group（108 cases） and control group（104 cases）.The patients in control group received pelvic floor muscle rehabilitation training combined with laparoscopic high sacral ligament suspension,while the patients in observation group received pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction.Before and after the treatment,pelvic organ prolapse quantitative（PDF-Q） indexes were compared between the two groups in order to evaluate the effect of surgery;pelvic floor dysfunction questionnaire（PFDI-20） score was used to evaluate the treatment effect.The pelvic floor muscle strength was measured at three and six months after operation,and the patients＇ recovery was evaluated.Results After treatment,PDF-Q indexes in the two groups were significantly improved（P〈0.05）.At three and six months after treatment,PDF-Q indexes in observation group were significantly better than those in control group（P〈0.05）.After treatment,PFDI-20 scores in the two groups were significantly lower than those before treatment,and at 6 months after operation,PFDI-20 score in observation group was significantly lower than that in control group（P〈0.05）.At three and six months after treatment,pelvic floor muscle strength in the two groups was significantly improved.Pelvic floor muscle strength in observation group was significantly better than that in control group（P〈0.05）.Conclusion The clinical effect of pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction among pelvic floor dysfunction patients is significantly improved.The recovery time of pelvic floor muscle strength is short.Pelvic floor muscle rehabilitation training

关 键 词：盆底肌肉康复训练 盆底重建术 盆底功能障碍性疾病 盆底肌力 

分 类 号：R711.7[医药卫生—妇产科学]