女性Prolift系统盆底重建术的临床疗效及对患者生活质量的影响研究

张宁宁

【摘要】 目的：研究女性Prolift系统盆底重建术运用于盆腔器官脱垂中的价值及对患者生活质量的影响。方法：选择2016年1月-2017年12月本院收治的50例盆腔器官脱垂患者。按照随机数字法将其分为研究组和对照组，各25例。研究组采取女性Prolift系统盆底重建术，对照组采用阴式全子宫切除与阴道前后壁修补术。比较两组手术相关情况、盆腔器官脱垂定量（POP-Q）、生活质量评分。结果：研究组手术时间、出血量、肛门排气时间、尿管留置时间及住院时间均少于对照组，差异均有统计学意义（P<0.05）;治疗后，研究组Aa、Ba、Ap、Bp及C位点数值均优于对照组，差异均有统计学意义（P<0.05）;治疗后，研究组心理功能、躯体健康及社会功能评分均高于对照组，差异均有统计学意义（P<0.05）。结论：女性Prolift系统盆底重建术治疗盆腔器官脱垂效果明显，可有效改善病情，促进盆腔结构及功能恢复，降低对患者的伤害，缩短治疗时间。

【关键词】 生活质量; 女性Prolift系统盆底重建术; 临床疗效; 盆腔器官脱垂

【Abstract】 Objective：To study the value of female Prolift system pelvic floor reconstruction in pelvic organ prolapse and its impact on patients quality of life.Method：A total of 50 patients with pelvic organ prolapse admitted to our hospital from January 2016 to December 2017 were selected.According to the random number method，they were divided into study group and control group，25 cases in each group.The study group underwent female Prolift system pelvic floor reconstruction，while control group underwent vaginal hysterectomy and vaginal anterior and posterior wall repair.The operation-related conditions，pelvic organ prolapse quantification（POP-Q）and quality of life scores between two groups were compared.Result：The operation time，bleeding volume，anal exhaust time，indwelling time of urinary catheter and hospitalization time in study group were less than those of control group，the differences were statistically significant（P<0.05）.After treatment，the values of Aa，Ba，Ap，Bp and C loci in study group were better than those of control group，the differences were statistically significant（P<0.05）.After treatment，the scores of psychological function，physical health and social function in study group were higher than those of control group，the differences were statistically significant（P<0.05）.Conclusion：Female Prolift pelvic floor reconstruction has obvious effect on pelvic organ prolapse，which can effectively improve the condition，promote the recovery of pelvic structure and function，reduce the injury to patients and shorten the treatment time.

【Key words】 Quality of life; Female Prolift system pelvic floor reconstruction; Clinical efficacy; Pelvic organ prolapse

First-authors address：Shuangyashan Double Mine Hospital，Shuangyashan 155100，China

doi：10.3969/j.issn.1674-4985.2019.10.015

盆腔器官脫垂属于妇科常见疾病，主要是指因各种因素造成患者盆底支持组织薄弱，从而使盆腔器官发生下降移位，最终可能引起器官位置及功能异常。其中轻度患者并无明显不适，而重度患者可能自觉阴道块状物脱出，并伴有不同程度的腰部酸痛及坠痛、排尿困难等，严重影响患者正常生活[1-2]。

若未及时采取有效治疗或者治疗不当，随着疾病进展，可能激发感染，甚至影响受孕及分娩情况，给患者身体健康及生活质量带来较大危害。临床通常采取手术方式进行治疗，常规手术虽然取得了一定价值，但效果并不明显，出血量较多，不利于术后恢复，延长治疗时间[3-4]。随着对医疗技术的深入探究，临床指出女性Prolift系统盆底重建术效果更好，可降低出血量，减小对患者的伤害，改善病情，提高生活质量[5-7]。因此本院展开研究，探讨女性Prolift系统盆底重建术运用于盆腔器官脱垂中的意义，现报道如下。