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新式经阴道盆腔脏器脱垂手术治疗女性盆腔脏器脱垂的临床分析

Clinical analysis of new transvaginal pelvic organ prolapse surgery in the treatment of female pelvic organ prolapse
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摘要 目的探讨新式经阴道盆腔脏器脱垂手术治疗女性盆腔脏器脱垂的临床效果。方法选取2018年3月至2020年3月于本院治疗的68例女性盆腔脏器脱垂患者作为研究对象,按照随机数字表法分为观察组与对照组,每组34例。对照组行传统手术,观察组行新式经阴道盆腔脏器脱垂手术,比较两组症状改善情况及盆底功能。结果术后,两组盆腔器官脱垂症状评分(POP-SS)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);术后,两组盆腔功能障碍性疾病症状问卷表(PFDI-20)评分均明显低于术前,观察组盆底功能障碍影响简易问卷(PFIQ-7)评分明显低于术前,且观察组PFDI-20、PFIQ-7评分均低于对照组,差异有统计学意义(P<0.05);对照组手术前后PFIQ-7评分比较差异无统计学意义。结论新式经阴道盆腔脏器脱垂手术治疗女性盆腔脏器脱垂患者,能改善患者临床症状及盆底功能,值得临床推广应用。 Objective To investigate the clinical effect of new transvaginal pelvic organ prolapse surgery in the treatment of female pelvic organ prolapse.Methods 68 cases patients with female pelvic organ prolapse patients from March 2018 to March 2020 in our hospital were selected as the research subjects,and they were divided into the observation group and the control group according to the random number table method,with 34 cases in each group.The control group received traditional surgery,the observation group received new transvaginal pelvic organ prolapse surgery,the symptoms improvement and pelvic floor function were compared between the two groups.Results After surgery,the pelvic organ prolapse-symptom score(POP-SS)were were lower than before surgery,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).After surgery,pelvic floor distress inventory-short from 20(PFDI-20)scores of the two groups were significantly lower than before surgery,pelvic floor impact questionnaire-short form 7(PFIQ-7)scores in the observation group were significantly lower than before surgery,and PFDI-20 and PFIQ-7 scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);there was no significant difference in PFIQ-7 scores in the control group before and after surgery.Conclusion The new transvaginal pelvic organ prolapse surgery can improve the clinical symptoms and pelvic floor function in the treatment of female pelvic organ prolapse,it is worthy of clinical promotion and application.
作者 张萍 唐晖 张玲 ZHANG Ping;TANG Hui;ZHANG Ling(Department of Gynecology,Jingmen Rehabilitation Hospital,Jingmen,Hubei,448000,China;Department of Gynecology,Jingmen First People's Hospital,Jingmen,Hubei,448000,China)
出处 《当代医学》 2023年第24期115-117,共3页 Contemporary Medicine
关键词 新式经阴道盆腔脏器脱垂手术 女性盆腔脏器脱垂 临床效果 盆底功能 New transvaginal pelvic organ prolapse surgery Female pelvic organ prolapse Clinical effect Pelvic floor function
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