發(fā)布時間：2018-11-10 09:35

【摘要】：目的探討自身組織修復和網(wǎng)片置入兩種盆底重建術后盆底肌肉的功能及術后生活質(zhì)量。方法選取2013年9月至2016年9月于北京協(xié)和醫(yī)院行盆底重建手術,并于2014年9月至2016年12月門診隨訪患者共130例。以是否放置網(wǎng)片將患者分為網(wǎng)片組及自身組織修復組,以隨訪時間不同分為術后3個月隨訪組及術后1年隨訪組,在術后3個月及術后1年對其進行盆底肌肉功能評估和生活質(zhì)量、性生活質(zhì)量的評估。結(jié)果不同術式組、不同隨訪時間組術后盆底肌力差異無統(tǒng)計學意義(P0.05)。不同術式患者陰道動態(tài)壓力及生活質(zhì)量評分差異均有統(tǒng)計學意義(P=0.005,P=0.037),網(wǎng)片組優(yōu)于自身組織修復組。不同術式陰道動態(tài)壓力與POP-Q分度各指示點僅網(wǎng)片組與Aa點(P=0.029)、Ba點(P=0.031)相關,盆底Ⅱ類肌肌力與Bp點(P=0.041)相關,網(wǎng)片組術后3個月隨訪患者盆底Ⅰ類肌力與Aa點(P=0.026)、Ba點(P=0.038)、C點(P=0.038)相關,盆底Ⅱ類肌力與Aa點(P=0.049)、Ba點(P=0.025)、C點(P=0.011)、Ap點(P=0.032)、Bp點(P=0.05)相關;術后1年隨訪患者盆底Ⅰ類肌力與Aa點(P=0.015)、Ba(P=0.037)相關。結(jié)論網(wǎng)片置入盆底重建手術不影響患者盆底肌肉功能,盆底重建術可改善盆底功能。經(jīng)盆底肌肉功能鍛煉是否可加強盆底重建術后患者盆底肌肉功能需進一步研究。
[Abstract]:Objective to investigate the function and quality of life of pelvic floor muscles after pelvic floor reconstruction. Methods pelvic floor reconstruction was performed from September 2013 to September 2016, and 130 outpatients were followed up from September 2014 to December 2016. The patients were divided into the mesh group and the self-tissue repair group according to whether the mesh was placed or not. The patients were divided into 3 months follow-up group and 1 year follow-up group according to the follow-up time. The pelvic floor muscle function, quality of life and sexual life were evaluated 3 months after operation and 1 year after operation. Results there was no significant difference in pelvic floor muscle strength between different operation groups and different follow-up time groups (P0.05). There were significant differences in vaginal dynamic pressure and quality of life (P0. 005, P0. 037) in patients with different types of operation, and the mesh group was superior to the self-repairing group. The dynamic pressure of vagina and the POP-Q index were correlated with the Aa point (P0. 029), Ba point) and the pelvic floor type 鈪，

本文編號：2322066