女性Prolift系統(tǒng)盆底重建術(shù)的臨床療效及對患者生活質(zhì)量的影響研究

張寧寧

【摘要】 目的：研究女性Prolift系統(tǒng)盆底重建術(shù)運(yùn)用于盆腔器官脫垂中的價值及對患者生活質(zhì)量的影響。方法：選擇2016年1月-2017年12月本院收治的50例盆腔器官脫垂患者。按照隨機(jī)數(shù)字法將其分為研究組和對照組，各25例。研究組采取女性Prolift系統(tǒng)盆底重建術(shù)，對照組采用陰式全子宮切除與陰道前后壁修補(bǔ)術(shù)。比較兩組手術(shù)相關(guān)情況、盆腔器官脫垂定量（POP-Q）、生活質(zhì)量評分。結(jié)果：研究組手術(shù)時間、出血量、肛門排氣時間、尿管留置時間及住院時間均少于對照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）;治療后，研究組Aa、Ba、Ap、Bp及C位點(diǎn)數(shù)值均優(yōu)于對照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）;治療后，研究組心理功能、軀體健康及社會功能評分均高于對照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：女性Prolift系統(tǒng)盆底重建術(shù)治療盆腔器官脫垂效果明顯，可有效改善病情，促進(jìn)盆腔結(jié)構(gòu)及功能恢復(fù)，降低對患者的傷害，縮短治療時間。

【關(guān)鍵詞】 生活質(zhì)量; 女性Prolift系統(tǒng)盆底重建術(shù); 臨床療效; 盆腔器官脫垂

【Abstract】 Objective：To study the value of female Prolift system pelvic floor reconstruction in pelvic organ prolapse and its impact on patients quality of life.Method：A total of 50 patients with pelvic organ prolapse admitted?to our hospital from January 2016 to December 2017 were selected.According to the random number method，they were divided into study group and control group，25 cases in each group.The study group underwent female Prolift system pelvic floor reconstruction，while control group underwent vaginal hysterectomy and vaginal anterior and posterior wall repair.The operation-related conditions，pelvic organ prolapse quantification（POP-Q）and quality of life scores between two groups were compared.Result：The operation time，bleeding volume，anal exhaust time，indwelling time of urinary catheter and hospitalization time in study group were less than those of control group，the differences were statistically significant（P<0.05）.After treatment，the values of Aa，Ba，Ap，Bp and C loci in study group were better than those of control group，the differences were statistically significant（P<0.05）.After treatment，the scores of psychological function，physical health and social function in study group were higher than those of control group，the differences were statistically significant（P<0.05）.Conclusion：Female Prolift pelvic floor reconstruction has obvious effect on pelvic organ prolapse，which can effectively improve the condition，promote the recovery of pelvic structure and function，reduce the injury to patients and shorten the treatment time.

【Key words】 Quality of life; Female Prolift system pelvic floor reconstruction; Clinical efficacy; Pelvic organ prolapse

First-authors address：Shuangyashan Double Mine Hospital，Shuangyashan 155100，China

doi：10.3969/j.issn.1674-4985.2019.10.015

盆腔器官脫垂屬于婦科常見疾病，主要是指因各種因素造成患者盆底支持組織薄弱，從而使盆腔器官發(fā)生下降移位，最終可能引起器官位置及功能異常。其中輕度患者并無明顯不適，而重度患者可能自覺陰道塊狀物脫出，并伴有不同程度的腰部酸痛及墜痛、排尿困難等，嚴(yán)重影響患者正常生活[1-2]。

若未及時采取有效治療或者治療不當(dāng)，隨著疾病進(jìn)展，可能激發(fā)感染，甚至影響受孕及分娩情況，給患者身體健康及生活質(zhì)量帶來較大危害。臨床通常采取手術(shù)方式進(jìn)行治療，常規(guī)手術(shù)雖然取得了一定價值，但效果并不明顯，出血量較多，不利于術(shù)后恢復(fù)，延長治療時間[3-4]。隨著對醫(yī)療技術(shù)的深入探究，臨床指出女性Prolift系統(tǒng)盆底重建術(shù)效果更好，可降低出血量，減小對患者的傷害，改善病情，提高生活質(zhì)量[5-7]。因此本院展開研究，探討女性Prolift系統(tǒng)盆底重建術(shù)運(yùn)用于盆腔器官脫垂中的意義，現(xiàn)報道如下。