摘要
目的探讨阴道前壁悬吊术联合盆底修复对女性膀胱脱垂的临床疗效,并分析其对患者盆底功能、尿失禁情况的影响。方法前瞻性纳入2020年7月至2022年7月洛阳市东方人民医院/河南科技大学第三附属医院收治的82例女性膀胱脱垂患者,以随机数字表法分为对照组和观察组,各41例。两组均行阴道前壁悬吊术,对照组患者术后接受常规康复治疗,观察组患者在对照组基础上接受盆底修复治疗,两组患者均治疗1个月。比较两组临床疗效,对比两组治疗前、治疗结束时盆底功能、尿失禁情况和尿动力指标及1 h漏尿量。结果观察组总有效率高于对照组(P<0.05)。康复治疗结束后,两组患者盆底功能障碍问卷(PFDI-20)、国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分均低于治疗前,且观察组低于对照组(P<0.05);两组患者最大尿道压(MUP)、腹压漏尿点压(ALPP)、最大尿道闭合压(MUCP)水平均高于治疗前,1 h漏尿量少于治疗前,且观察组MUP、ALPP、MUCP水平高于对照组,1 h漏尿量少于对照组(P<0.05)。结论阴道前壁悬吊术联合盆底修复可改善女性膀胱脱垂患者盆腔功能、尿失禁情况,恢复正常排尿,提高康复治疗效果。
Objective To investigate the clinical efficacy of vaginal anterior wall suspension combined with pelvic floor repair for female bladder prolapse,and analyze its influence on pelvic floor function and urinary incontinence symptoms in patients.Methods A total of 82 female patients with bladder prolapse admitted to Luoyang Dongfang People’s Hospital/the Third Affiliated Hospital of Henan University of Science and Technology from July 2020 to July 2022 were prospectively included.They were divided into control group and observation group using random number table method,with 41 cases in each group.Both groups underwent vaginal anterior wall suspension surgery.Patients in the control group received routine rehabilitation treatment after surgery,while patients in the observation group received pelvic floor repair treatment.Both groups underwent one month of treatment.The clinical efficacy of the two groups was compared,and the pelvic floor function,urinary incontinence,urinary dynamic indexes and 1 hour urine leakage between the two groups were compared before and after treatment.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).After rehabilitation treatment,the scores on the pelvic floor distress inventory-short form 20(PFDI-20)and the international consultation on incontinence questionnaire short form(ICIQ-SF)were lower in both groups than before treatment,and the observation group was lower than the control group(P<0.05).The levels of maximum urethral pressure(MUP),abdominal leak point pressure(ALPP)and maximum urethral closure pressure(MUCP)in both groups were higher than before treatment,and the urine leakage at 1 hour was lower than before treatment,and the levels of MUP,ALPP and MUCP in the observation group were higher than those in the control group,and the urine leakage at 1 hour was lower than that in the control group(P<0.05).Conclusion Vaginal anterior wall suspension combined with pelvic floor repair can improve pelvic function and urinary incon
作者
董玉宁
周惠人
王莹
李晶
DONG Yuning;ZHOU Huiren;WANG Ying;LI Jing(Gynecology and Obstetrics Department,Luoyang Dongfang People’s Hospital/the Third Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)
出处
《河南医学研究》
CAS
2023年第17期3144-3147,共4页
Henan Medical Research
关键词
女性膀胱脱垂
阴道前壁悬吊
盆底修复治疗
盆底功能
尿失禁
female bladder prolapse
vaginal anterior wall suspension
pelvic floor repair treatment
pelvic floor function
urinary incontinence
