盆底肌肉康复训练联合盆底重建术治疗女性盆底功能障碍性疾病的临床效果

Clinical effect of pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction in the treatment of female pelvic floor dysfunction

目的分析女性盆底功能障碍性疾病采用盆底肌肉康复训练联合盆底重建术的疗效。方法选择我院2015年7月~2017年1月期间接诊的92例盆底功能障碍性疾病患者,将其按不同治疗方案分组,即治疗组(盆底肌肉训练+盆底重建术)、对照组(盆底肌肉训练+腹腔镜下高位骶韧带悬吊术),每组46例,比较两组患者PDF-Q分度、PFDI-20评分、盆底肌力情况。结果与对照组比较,治疗组的PDF-Q分度情况改善更明显,组间差异有统计学意义(P<0.05);两组患者治疗前PFDI-20评分和盆低肌力情况比较,差异无统计学意义(P>0.05);治疗后,治疗组PFDI-20评分和盆低肌力改善情况较对照组更明显,组间差异有统计学意义(P<0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论临床治疗女性盆底功能障碍性疾病采用盆底肌肉康复训练联合盆底重建术治疗,可促进患者恢复盆底肌力,提高生活质量。

Objective To analyze the curative effect of pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction in female pelvic floor dysfunction. Methods A total of 92 patients with pelvic floor dysfunction who were admitted to our hospital from July 2015 to January 2017 were selected. The patients were grouped according to different treatment regimens, namely the treatment group(pelvic floor muscle training+pelvic floor reconstruction) and the control group(pelvic floor muscle training+laparoscopic high sacral ligament suspension), with 46 patients in each group. The PDF-Q indexing, PFDI-20 score, pelvic floor muscle strength were compared between the two groups. Results Compared with the control group, the PDF-Q indexing in the treatment group was improved more significantly, and the difference between the two groups was statistically significant(P<0.05); there was no statistically significant difference between the two groups in PFDI-20 score and pelvic floor muscle strength before the treatment(P>0.05); after the treatment, the improvement of PFDI-20 score and pelvic floor muscle strength in the treatment group was more significant than that in the control group, there was statistically significant difference between the two groups(P<0.05). There was no statistically significant difference in the ratio of complications between the two groups(P>0.05). Conclusion Pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction can be used for the clinical treatment of female pelvic floor dysfunction, which can promote the recovery of pelvic floor muscle strength, and improve the quality of life.