子宫托治疗老年女性盆腔脏器脱垂的生活质量评价分析

Evaluation and analysis of life quality in pessary treatment of pelvic organ prolapse in elderly women

目的评估子宫托治疗老年女性盆腔脏器脱垂的临床疗效及生活质量。方法选择2016年1月~2017年12月收治Ⅱ度及以上老年POP患者48例,应用PFIQ-7问卷评分及POP-Q分度比较子宫托治疗前和治疗3个月、6个月及1年后的疗效,评估子宫托对POP患者生活质量及盆底解剖的影响。结果48例患者平均随访时间为(11.2±3.1)个月。治疗前与应用子宫托后3个月、6个月及1年的PFIQ-7问卷评分分别是(69.12±4.41)分、(6.32±1.61)分、(8.42±1.31)分、(7.82±2.01)分,使用子宫托后PFIQ-7问卷评分较治疗前明显降低(P<0.05),治疗后不同时期PFIQ-7问卷评分比较,差异无统计学意义(P>0.05)。结论子宫托能够缓解中老年POP患者症状,无创、低廉,可提高老年患者生活质量。

Objective To evaluate the clinical efficacy of pessary and the quality of life of patients in the treatment of pelvic organ prolapse in elderly women.Methods Forty-eight elderly POP patients at grade Ⅱ or above who were admitted to the hospital from January 2016 to December 2017 were enrolled as subjects.PFIQ-7 questionnaire score and POP-Q scale were used to compare the efficacy before treatment and after 3 months,6 months and 1 year of pessary treatment to evaluate the effect of pessary on the life quality and pelvic floor anatomy of POP patients.Results The average follow-up time of 48 patients was(11.2±3.1)months.The PFIQ-7 scores before treatment and at 3 months,6 months and 1 year after pessary treatment were(69.12±4.41),(6.32±1.61),(8.42±1.31)and(7.82±2.01),respectively.The PFIQ-7 scores after pessary treatment were significantly lower than those before treatment(P<0.05).PFIQ-7 questionnaire scores at different stages after treatment showed no statistically significant difference(P>0.05).Conclusion Pessaries can alleviate the symptoms of POP in middle-aged and elderly patients.It is non-invasive,inexpensive and can improve the quality of life of elderly patients.