中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
23期
65-67
,共3页
前盆底重建%生命质量%盆腔器官脱垂
前盆底重建%生命質量%盆腔器官脫垂
전분저중건%생명질량%분강기관탈수
Anterior pelvic floor reconstruction%Quality of life%Pelvic organ prolapse
目的：比较加用网片的前盆底重建与骶韧带悬吊术(新术式)与传统术式治疗盆腔器官脱垂的效果。方法选择2003年9月~2008年8月本院收治的盆腔器官脱垂手术治疗患者120例为观察对象，根据手术方式分为新术式组44例和传统术式组76例。术后随访，记录术前及术后1、2、5、7年患者的生命质量情况，采用盆底不适调查表短表20(PFDI-20)进行生命质量评分。结果两组术后1、2、5、7年的盆腔脏器脱垂症状调查表(POPDI-6)、结直肠肛门困扰量表(CRADI-8)及PFDI-20评分差异无统计学意义(P>0.05)。传统术式组术后7年的POPDI-6、PFDI-20评分比术前明显降低，排尿困扰量表(UDI-6)评分5年后与术前差异无统计学意义(P>0.05)。新术式组术后7年的POPDI-6、UDI-6、PFDI-20评分均比术前明显降低(P<0.05)。结论两种术式均可明显改善患者的生命质量，新术式改善程度优于传统术式，临床应推广应用。
目的：比較加用網片的前盆底重建與骶韌帶懸弔術(新術式)與傳統術式治療盆腔器官脫垂的效果。方法選擇2003年9月~2008年8月本院收治的盆腔器官脫垂手術治療患者120例為觀察對象，根據手術方式分為新術式組44例和傳統術式組76例。術後隨訪，記錄術前及術後1、2、5、7年患者的生命質量情況，採用盆底不適調查錶短錶20(PFDI-20)進行生命質量評分。結果兩組術後1、2、5、7年的盆腔髒器脫垂癥狀調查錶(POPDI-6)、結直腸肛門睏擾量錶(CRADI-8)及PFDI-20評分差異無統計學意義(P>0.05)。傳統術式組術後7年的POPDI-6、PFDI-20評分比術前明顯降低，排尿睏擾量錶(UDI-6)評分5年後與術前差異無統計學意義(P>0.05)。新術式組術後7年的POPDI-6、UDI-6、PFDI-20評分均比術前明顯降低(P<0.05)。結論兩種術式均可明顯改善患者的生命質量，新術式改善程度優于傳統術式，臨床應推廣應用。
목적：비교가용망편적전분저중건여저인대현조술(신술식)여전통술식치료분강기관탈수적효과。방법선택2003년9월~2008년8월본원수치적분강기관탈수수술치료환자120례위관찰대상，근거수술방식분위신술식조44례화전통술식조76례。술후수방，기록술전급술후1、2、5、7년환자적생명질량정황，채용분저불괄조사표단표20(PFDI-20)진행생명질량평분。결과량조술후1、2、5、7년적분강장기탈수증상조사표(POPDI-6)、결직장항문곤우량표(CRADI-8)급PFDI-20평분차이무통계학의의(P>0.05)。전통술식조술후7년적POPDI-6、PFDI-20평분비술전명현강저，배뇨곤우량표(UDI-6)평분5년후여술전차이무통계학의의(P>0.05)。신술식조술후7년적POPDI-6、UDI-6、PFDI-20평분균비술전명현강저(P<0.05)。결론량충술식균가명현개선환자적생명질량，신술식개선정도우우전통술식，림상응추엄응용。
Objective To compare the effect of mesh-utilizing anterior pelvic floor reconstruction and uterosacral liga-ment suspension (new operation) and traditional operation in the treatment of pelvic organ prolapse. Methods 120 pa-tients given pelvic organ prolapse operation treatment and treated in our hospital from September 2003 to August 2008 were selected as observation subjects,and they were divided into new operation group (44 cases) and traditional opera-tion group (76 cases) according to the operation method.Patients were followed-up after operation and patients’quality of life before operation and after 1,2,5,7 years operation was recorded.Pelvic floor distress inventory-short form 20 (PF-DI-20) was used to score for quality of life. Results There was no statistical difference of POPDI-6,CRADI-8 and PF-DI-20 score after 1,2,5,7 years operation between two groups 9 (P>0.05).POPDI-6 and PFDI-20 score after 7 years op-eration in traditional operation group was significantly lower than that before operation respectively,while the UDI-6 score after 5 years operation showed no statistical difference compared with that before operation (P>0.05).POPDI-6,U-DI-6 and PFDI-20 score of new operation group was obviously reduced after 7 years operation compared with before operation (P<0.05). Conclusion Both two operation can significantly improve patients’ quality of life,and the improve-ment of new operation is better than that of traditional operation,and it is promoted and applied in clinic.
