改良盆底重建与腹腔镜下阴道骶骨固定对盆腔脏器脱垂患者盆底功能和尿流动力学及生命质量的影响  

Modified pelvic floor reconstruction and laparoscopic vaginal sacral fixation on pelvic floor function and urodynamics and quality of life in patients with pelvic organ prolapse

作　　者：易佳 聂王莉 程显 YI Jia;NIE Wangli;CHENG Xian(Department of Obstetrics and Gynecology,Jiujiang Maternal and Child Health Hospital,Jiangxi,Jiujiang,332000,China)

机构地区：[1]九江市妇幼保健院妇产科,江西九江332000

出　　处：《当代医学》2023年第34期134-137,共4页Contemporary Medicine

摘　　要：目的探究改良盆底重建术与腹腔镜下阴道骶骨固定术对盆腔脏器脱垂患者盆底功能、尿流动力学、生命质量的影响。方法选取2020年3月至2021年3月九江市妇幼保健院收治的70例盆腔脏器脱垂患者作为研究对象,根据治疗方案的不同分为改良重建组(n=33)与固定治疗组(n=37)。改良重建组接受改良盆底重建术治疗,固定治疗组接受腹腔镜下阴道骶骨固定术治疗,比较两组治疗后的盆底功能[盆腔脏器脱垂症状调查表(POPDI-6)评分、结直肠肛门困扰量表(CRADI-8)评分、排尿困扰量表(UDI-6)评分]变化、尿流动力学[平均尿流率、最大尿流率、残余尿量]变化及盆底障碍影响简易问卷(PFIQ-7)评分。结果治疗后,两组POPDI-6评分、CRADI-8评分、UDI-6评分均低于治疗前,且固定治疗组低于改良重建组,差异有统计学意义(P<0.05)。治疗后,两组平均尿流率、最大尿流率均大于治疗前,残余尿量少于治疗前,且固定治疗组平均尿流率、最大尿流率大于改良重建组,残余尿量少于改良重建组,差异有统计学意义(P<0.05)。治疗后,两组PFIQ-7评分均低于治疗前,且固定治疗组低于改良重建,差异有统计学意义(P<0.05)。结论腹腔镜下阴道骶骨固定术对改善盆腔脏器脱垂患者盆底功能、尿流动力学效果显著,能有效提高患者术后生命质量,临床应用价值较高。Objective To explore the effects of improved pelvic floor reconstruction and laparoscopic vaginal sacral fixation on pelvic floor func-tion,urodynamics and quality of life in patients with pelvic organ prolapse.Methods A total of 70 patients with pelvic organ prolapse treated in Jiuji-ang Maternal and Child Health Hospital from March 2020 to March 2021 were selected as the research subjects,and they were divided into the modi-fied reconstruction group(n=33)and the fixed treatment group(n=37)according to the different treatment schemes.The modified reconstruction group received modified pelvic floor reconstruction,the fixed treatment group received vaginal sacral fixation,the pelvic floor function(pelvic organ prolapse symptom questionnaire[POPDI-6],colorectal and anal distress scale[CRADI-8],micturition distress scale[UDI-6]),urodynamics(mean urinary flow rate,maximum urinary flow rate,residual urine volume)and pelvic floor disturbance simple questionnaire(PFIQ-7)were compared be-tween the two groups.Results After treatment,the POPDI-6 score,CRADI-8 score and UDI-6 score of the two groups were lower than before treat-ment,and the fixed treatment group was lower than those in the modified reconstruction group,the differences were statistically significant(P<0.05).After treatment,the mean urinary flow rate and maximum urinary flow rate of the two groups were higher than before treatment,residual urine volume were less than before treatment,and the mean urinary flow rate and maximum urinary flow rate in the fixed treatment group were higher than those in the modified reconstruction group,residual urine volume was less than that in the modified reconstruction group,the differences were statisti-cally significant(P<0.05).After treatment,the PFIQ-7 score of the two groups were significantly lower than those before treatment,and the fixed treat-ment group was lower than those in the modified reconstruction group,the differences were statistically significant(P<0.05).Conclusion Laparo-scopic vaginal sacral fixation is ef

关 键 词：改良盆底重建术 腹腔镜 阴道骶骨固定治疗 盆底功能 尿流动力 

分 类 号：R713[医药卫生—妇产科学]