实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2015年
3期
55-57
,共3页
陈绮萍%廖丹%陈张铭%秦红芳
陳綺萍%廖丹%陳張銘%秦紅芳
진기평%료단%진장명%진홍방
盆底功能%子宫悬吊术%电刺激生物反馈疗法%盆腔脏器脱垂
盆底功能%子宮懸弔術%電刺激生物反饋療法%盆腔髒器脫垂
분저공능%자궁현조술%전자격생물반궤요법%분강장기탈수
pelvic floor function%uterine suspension surgery%electrical stimulation biofeedback therapy%pelvic organ prolapse
目的：探讨骶尾骨前网片固定悬吊术联合电刺激生物反馈疗法对老年盆腔脏器脱垂（POP）术后盆底功能康复的影响。方法将96例老年 POP 患者随机分为对照组与观察组，每组48例。2组均行骶尾骨前网片固定悬吊术治疗；观察组术后1个月采用电刺激生物反馈疗法。比较2组术前与术后6个月压力性尿失禁（SUI）及盆底肌力情况。结果2组术后均能有效减少 SUI 发生，观察组术后6个月 SUI 改善较对照组更为显著（χ2＝7．4701， P ＝0．0239）。对照组术后盆底肌力无明显改善（χ2＝1．3032，P ＝0．8608），观察组能明显增强盆底肌力，治疗前后比较差异有统计学意义（χ2＝37．0520，P ＝0．0000）；术后6个月2组盆底肌力改善情况比较，差异有统计学意义（χ2＝33．6431，P ＝0．0000）。结论骶尾骨前网片固定悬吊术联合电刺激生物反馈疗法能从结构和功能上改善老年 POP 患者的盆底功能。
目的：探討骶尾骨前網片固定懸弔術聯閤電刺激生物反饋療法對老年盆腔髒器脫垂（POP）術後盆底功能康複的影響。方法將96例老年 POP 患者隨機分為對照組與觀察組，每組48例。2組均行骶尾骨前網片固定懸弔術治療；觀察組術後1箇月採用電刺激生物反饋療法。比較2組術前與術後6箇月壓力性尿失禁（SUI）及盆底肌力情況。結果2組術後均能有效減少 SUI 髮生，觀察組術後6箇月 SUI 改善較對照組更為顯著（χ2＝7．4701， P ＝0．0239）。對照組術後盆底肌力無明顯改善（χ2＝1．3032，P ＝0．8608），觀察組能明顯增彊盆底肌力，治療前後比較差異有統計學意義（χ2＝37．0520，P ＝0．0000）；術後6箇月2組盆底肌力改善情況比較，差異有統計學意義（χ2＝33．6431，P ＝0．0000）。結論骶尾骨前網片固定懸弔術聯閤電刺激生物反饋療法能從結構和功能上改善老年 POP 患者的盆底功能。
목적：탐토저미골전망편고정현조술연합전자격생물반궤요법대노년분강장기탈수（POP）술후분저공능강복적영향。방법장96례노년 POP 환자수궤분위대조조여관찰조，매조48례。2조균행저미골전망편고정현조술치료；관찰조술후1개월채용전자격생물반궤요법。비교2조술전여술후6개월압력성뇨실금（SUI）급분저기력정황。결과2조술후균능유효감소 SUI 발생，관찰조술후6개월 SUI 개선교대조조경위현저（χ2＝7．4701， P ＝0．0239）。대조조술후분저기력무명현개선（χ2＝1．3032，P ＝0．8608），관찰조능명현증강분저기력，치료전후비교차이유통계학의의（χ2＝37．0520，P ＝0．0000）；술후6개월2조분저기력개선정황비교，차이유통계학의의（χ2＝33．6431，P ＝0．0000）。결론저미골전망편고정현조술연합전자격생물반궤요법능종결구화공능상개선노년 POP 환자적분저공능。
ABSTRACT:Objective To investigate the effect of anterior sacrococcygeal mesh suspension sur-gery combined with electrical stimulation biofeedback therapy on pelvic floor rehabilitation in eld-erly women with pelvic organ prolapse(POP).Methods Ninety-six elderly women with POP were randomly treated with anterior sacrococcygeal mesh suspension surgery(control group,n=48)or in combination with electrical stimulation biofeedback therapy 1 month after surgery(ob-servation group,n=48).Stress urinary incontinence and pelvic floor muscle strength were evalua-ted before and 6 months after surgery.Results The SUI was improved in both groups,and the improvement in observation group was more obvious than that in control group(χ2 =7.470 1,P =0.023 9).After treatment,the pelvic floor muscle strength was significantly improved in observa-tion group(χ2 =37.052 0,P =0.000 0),but not in control group(χ2 = 1.303 2,P = 0.860 8). There was a significant difference in the improvement in pelvic floor muscle strength between the two groups 6 months after surgery(χ2 =33.643 1,P =0.000 0).Conclusion Anterior sacrococcy-geal mesh suspension surgery combined with electrical stimulation biofeedback therapy can im-prove the structure and function of pelvic floor in elderly women with POP.
