盆底重建联合悬吊术对盆底功能障碍性疾病患者盆底肌肌电以及生活质量的影响.docVIP

盆底重建联合悬吊术对盆底功能障碍性疾病患者盆底肌肌电以及生活质量的影响 　　[摘要] 目的 探讨盆底重建联合悬吊术（TVT）对盆底功能障碍性疾病（PFD）患者盆底肌肌电以及生活质量的影响。 方法 选择2012年2月～2014年4月在抚顺矿务局总医院进行治疗的PFD患者84例，采用随机数字表法将其分为对照组和观察组，每组各42例。对照组采用阴式子宫切除加阴道前后壁修补术，同时行TVT术。观察组采用盆底重建术联合TVT术进行治疗。对两组患者手术状况、盆底肌肌电以及生活质量进行评估。 结果 观察组患者手术时间、尿管留置时间和住院时间均显著短于对照组（P 0.05）。组间比较，手术前、后，两组患者盆底肌肌电比较，差异无统计学意义（P 0.05）。术后6个月，观察组患者PFDI-20，PFIQ-7评分均显著低于对照组（P 0.05），观察组患者性生活质量评分显著高于对照组（P 0.05）。 结论 盆底重建联合TVT对PFD患者盆底肌肌电的影响较小，可以显著提高PFD患者生活质量，临床疗效确切，具有较好的临床应用前景。 　　[关键词] 盆底重建；经阴道尿道中段无张力悬吊术；盆底功能障碍性疾病；盆底肌肌电；生活质量 　　[中图分类号] R459.5 [文献标识码] A [文章编号] 1674-4721（2016）10（b）-0071-04 　　[Abstract] Objective To explore the effects of pelvic floor reconstruction combined with TVT on pelvic floor electromyography and life quality of patients with PFD. Methods Eighty-four cases with PFD treated in General Hospital of Fushun Mining Bureau from February 2012 to April 2014 were selected， according to the random number table， they were divided into the observation group and the control group， 42 cases in each group. Control group was received vaginal hysterectomy with anterior and posterior vaginal wall repair， at the same time， TVT was also adopted. The observation group was received pelvic reconstruction combined with TVT therapy. The surgical conditions， EMG of pelvic floor muscle and the quality of life of two groups were evaluated. Results The operation time， indwelling catheter time and hospitalization time in the observation group were significantly shorter than those of the control group （P 0.05）. The difference of preoperative and postoperative pelvic floor muscle EMG between two groups was not significant （P 0.05）. 6 months after surgery， the PFDI-20 and PFIQ-7 scores in observation group were significantly lower than control group （P 　　[Key words] Pelvic floor reconstruction； Trans-vaginal mid-urethral tention free vaginal tape； Pelvic floor dysfunction； Pelvic floor muscle electromyography； Life quality 　　盆底功能障碍性疾病（pelvic floor dysfunction，PFD）是指由于盆底支持组织功能缺陷而导致患者盆腔器