生物反馈联合会阴重建术治疗重度会阴撕裂的临床效果

Clinical effect of biofeedback combined with perineal reconstruction in the treatment of severe perineal laceration

目的探讨生物反馈联合会阴重建术治疗重度会阴撕裂的临床效果。方法将40例重度会阴撕裂患者随机分为对照组和观察组,每组20例。对照组予以会阴重建术治疗,观察组予以会阴重建术+生物反馈疗法。比较两组患者术前及术后6个月的肛门失禁临床评分和性功能评分。结果术后6个月,两组患者的Wexner评分均降低,且观察组低于对照组(P<0.05)。术后6个月,两组患者的FSFI评分均降低,且观察组低于对照组(P<0.05)。结论在重度会阴撕裂患者的治疗中应用生物反馈联合会阴重建术,不仅可以更好地恢复肛门括约肌的控便能力,还可改善患者的性功能。

Objective To explore the clinical effect of biofeedback combined with perineal reconstruction in the treatment of severe perineal laceration. Methods Forty patients with severe perineal laceration were randomly divided into control group and observation group, with 20 cases in each group. The control group received perineal reconstruction, while the observation group received perineal reconstruction and biofeedback therapy. Before surgery and at six months after surgery, the scores of anal incontinence and sexual function were compared between the two groups. Results Six months after surgery, the Wexner scores in both groups decreased, and that in the observation group was lower than the control group (P<0.05). Six months after surgery, FSFI scores in both groups decreased, and that in the observation group was lower than the control group (P<0.05). Conclusion The application of biofeedback combined with perineal reconstruction in the treatment of patients with severe perineal laceration can not only better restore the control ability of anal sphincter, but also improve the sexual function of patients.