盆底重建术对盆腔器官脱垂患者生活质量的影响

Effect of Pelvic Floor Reconstruction on Quality of Life in Patients with Pelvic Organ Prolapse

目的:探讨盆底重建术对盆腔器官脱垂患者生活质量的影响。方法:选取2010年12月到2012年10月期间我院妇科46例盆腔器官脱垂患者,随机平均分为观察组与对照组,观察组予全盆底重建术治疗,对照组予传统阴式手术治疗,手术前后应用盆底功能障碍问卷PFDI-7及PFDI-20、性生活质量问卷POSQ对两组患者的生活质量进行评估。结果:两组术后PFDI-7及PFDI-20评分显著低于术前,差异有统计学意义(P<0.05),且观察组术后PFDI-7评分及PFDI-20评分均优于对照组,差异有统计学意义(P<0.05)。结论:与传统阴式手术相比,全盆底重建术术后患者生活质量有很大提高,对性生活影响较小,值得临床推广。

Objective： To study the effect of pelvic floor reconstruction on quality of life in patients with pelvic organ prolapse. Methods： 46 patients with pelvic organ prolapse admitted in our hospital from December 2010 to October 2012 were enrolled and randomly equally divided into observation group and control group. The observation group was given total pelvic floor reconstruction and the control group was given traditional vaginal operation. Pelvic floor functional disorder questionnaire, PFDI-7 and PFDI-20, as well as sexual life quality questionnaire were used before and after operation to evaluate the life quality of the patients. Results： Postoperative PFDI-7 and PFDI-20 score of the two groups were both was significantly lower than that before the operation and the difference was statistically significant （P〈0.05）. Both PFDI-7 and PFDI-20 scores were better than those of the control group and the difference was statistically significant （P〈0.05）. Conclusion： Compared with the traditional vaginal operation, total pelvic floor reconstruction could greatly improve life quality of patients with pelvic organ prolapsed and has less influence on sexual life, which is worth clinical promotion.