盆底悬吊术与传统经阴道子宫切除术治疗盆底功能障碍性疾病的效果

The effects of pelvic floor suspension and traditional transvaginal hysterectomy in the treatment of pelvic floor dysfunction diseases

目的探究盆底悬吊术与传统经阴道子宫切除术治疗盆底功能障碍性疾病的效果。方法选取2018年6月至2020年6月龙口市人民医院收治的80例盆底功能障碍性疾病患者作为研究对象,根据抽签法分为对照组与观察组,每组40例。对照组行传统经阴道子宫切除术,观察组行盆底悬吊术,比较两组围手术期指标、复发情况和生命质量。结果观察组手术时间、术后排气时间、尿管留置时间和住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。术后3个月,两组脏器脱垂、压力性尿失禁复发率比较差异无统计学意义;术后6、12个月,观察组器官脱垂和压力性尿失禁复发率均低于对照组,差异有统计学意义(P<0.05)。术前,两组盆腔器官脱垂、脏器脱垂、排尿症状评分及生命质量总分比较差异无统计学意义;术后,两组盆腔器官脱垂、脏器脱垂、排尿症状评分及生命质量总分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论盆底悬吊术治疗盆底功能障碍性疾病疗效确切,可改善患者围手术期指标,提高患者生命质量,且术后复发率低,值得临床推广应用。

Objective To explore the effects of pelvic floor suspension and traditional transvaginal hysterectomy in the treatment of pelvic floor dysfunction diseases.Methods A total of 80 patients with pelvic floor dysfunction diseases admitted to Longkou People's Hospital from June 2018 to June 2020 were selected as the research subjects,they were divided into the two groups according to the lottery method,with 40 cases in each group.The control group underwent traditional transvaginal hysterectomy,and the observation group underwent pelvic floor suspension,the perioper-ative indicators,recurrence and quality of life were compared between the two groups.Results The operation time,postoperative exhaust time,ure-thral indwelling time and hospitalization time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).At 3 months after operation,there were no significant differences in the recurrence rates of organ prolapse and stress urinary incontinence between the two groups;at 6 and 12 months after operation,the recurrence rates of organ prolapse and stress urinary incontinence in the observation group were lower than those in the control group,and the differ-ences were statistically significant(P<0.05).Before operation,there were no significant differences in pelvic organ prolapse,organ prolapse,urina-tion symptoms scores and total quality of life scores between the two groups;after operation,the scores of pelvic organ prolapse,organ prolapse,uri-nation symptoms scores and total quality of life of the two groups were lower than those before operation,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion Pelvic floor suspension is effective in the treatment of pelvic floor dysfunction diseases,it can improve the perioperative indicators of patients,improve the life treatment of patients,and the recurrence rate is low,which is worthy of clinical promotion and application.