经阴道骶棘韧带悬吊及骨盆漏斗韧带悬吊对盆底功能障碍患者术后生活质量的影响  

Effect of Transvaginal Sacrospinous Ligament Suspension and Pelvic Funnel Ligament Suspension on Postoperative Quality of Life in Patients with Pelvic Floor Dysfunction

作　　者：金荣[1] 胡兴[2] 顾兴伟[1] 陈红[1] JIN Rong;HU Xing;GU Xingwei;CHEN Hong(Danyang People's Hospital,Danyang,Jiangsu 212300,China;Jiangsu University Affiliated Hospital,Zhenjiang,Jiangsu 212001,China)

机构地区：[1]江苏省丹阳市人民医院,江苏丹阳212300 [2]江苏大学附属医院,江苏镇江212001

出　　处：《大医生》2019年第21期14-17,共4页Doctor

基　　金：探讨经阴道骶棘韧带悬吊(单侧或双侧)及骨盆漏斗韧带悬吊对盆底功能障碍术后复发及生活质量的影响(项目编号:sf201605)。

摘　　要：目的 探讨经阴道骶棘韧带悬吊及骨盆漏斗韧带悬吊对盆底功能障碍患者术后生活质量的影响.方法 选取2017年1月至2018年6月来丹阳市人民医院治疗盆底功能障碍的24例患者为研究对象.所有患者均采用经阴道骶棘韧带悬吊及骨盆漏斗韧带悬吊手术治疗.分析患者治疗效果、满意程度,比较治疗前后的情绪、疼痛及生活质量,采用POP-Q方法 观察患者手术前后C点值、Ba点值、Bp点值,评价患者术后改善情况.结果 24例患者治疗后,治疗总有效率为95.83%,治疗总满意率为95.83%.患者治疗后,焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显降低;疼痛评估指数(PRI)、现时疼痛强度(PPI)和视觉模拟量表(VAS)评分均明显降低;各项生活质量评分均明显提高,差异均有统计学意义(P<0.05).随访1~6个月,24例患者C点值均小于POP-QⅠ°,无患者复发,且无严重并发症发生.结论 经阴道骶棘韧带悬吊及骨盆漏斗韧带悬吊治疗盆底功能障碍性疾病疗效可靠,能有效缓解患者不良情绪及疼痛状况,患者满意度较高,术后患者生活质量提高.Objective To investigate the effect of transvaginal sacrospinous ligament suspension(TSLS)and pelvic funnel ligament suspension(PFLS)on postoperative quality of life in patients with pelvic floor dysfunction(PFD).Methods Totally 24 patients with PFD admitted to Danyang People's Hospital from January 2017 to June 2018 were selected.All patients were treated with TSLS and PFLS.The treatment effect and satisfaction degree were analyzed,the emotion,pain and quality of life of patients before and after treatment were compared.The values of C-point,Ba-point and Bp-point before and after operation were evaluated by POP-Q method to observe the postoperative improvement of patients.Results After treatment,the total effective rate was 95.83%,and the total satisfaction rate of patients was 95.83%.After treatment,the Self-rating Anxiety Scale(SAS)and Selfrating Depression Scale(SDS)scores were significantly decreased;the pain assessment index(PRI),current pain intensity(PPI),and visual analog scale(VAS)scores were also significantly decreased,and the patients'quality of life scores were significantly increased,the differences were all statistically significant(P<0.05).During the follow-up of 1 to 6 months,the C-point values of 24 patients were all less than POP-QI°.None of the patients had recurrence and no serious complications occurred.Conclusion TSLS and PFLS were effective in treating PFD.It can effectively alleviate the bad mood and pain of patients,and the patient’s satisfaction was higher.The postoperative quality of life of patients was improved.

关 键 词：骶棘韧带悬吊 骨盆漏斗韧带悬吊 盆底功能障碍 生活质量 

分 类 号：R47[医药卫生—护理学]