摘要
目的分析放置硅胶子宫托作用于老年盆腔脏器脱垂混着治疗中的临床效果及影响因素。方法选取2015年11月~2017年6月期间在我院接受诊治的老年盆腔脏器脱垂患者45例进行研究;根据治疗方法将对象分为观察组(n=23)和对照组(n=22),观察组接受硅胶子宫托放置治疗,对照组患者行改良阴式子宫切除术治疗,比较两组患者的治疗效果。结果经统计,观察组治疗总有效率为91.30%(21/23),对照组治疗有效率95.45%(21/22),两组比较差异无统计学意义(P>0.05);随访统计数据显示,观察组患者的PFDI-20(生活质量评分)、POPDI-6(盆腔脏器脱垂评分)以及UDI-6(排尿症状评分)与对照组比较差异无统计学意义(P>0.05)。对未取得满意效果患者的随访显示:我们认为子宫托放置治疗能否取得满意效果受患者主观因素以及阴道前壁脱垂的程度有直接联系。结论在老年盆腔脏器脱垂的治疗中,采用硅胶子宫托放置方法进行治疗,可取得与改良阴式子宫切除术相似的临床效果,可有效改善脱垂和相关排尿症状,进而改善患者的生活质量,是一种安全、有效的保守治疗方法,该方法经过研究验证效果确切,可在临床中给予借鉴和推广。
Objective To analyze clinical curative effects and influencing factors of placing silicone pessary in treatment of elderly patients with pelvic organ prolapse. Methods Forty-five elderly patients with pelvic organ prolapse who were diagnosed and treated in our hospital from November 2015 to June 2017 were studied. The subjects were divided into the observation group(n=23) and the control group(n=22) according to the treatment method. The observation group was treated with placing silicone pessary while the control group was treated with modified vaginal hysterectomy. The curative effects of patients of the two groups were compared. Results According to statistics, the total effective rate of treatment in the observation group was 91.30%(21/23), and that in the control group was 95.45%(21/22). There was no statistical difference in data between the two groups(P>0.05). Follow-up statistical data showed that there were no statistically significant differences in PFDI-20(quality of life score), POPDI-6(pelvic organ prolapse score) and UDI-6(urination symptoms score) between the observation group and the control group(P> 0.05). The follow-up of patients who had not achieved satisfactory results showed that we believed the satisfactory results of pessary placement treatment were directly related to the subjective factors of the patient and the degree of prolapse of the anterior vaginal wall. Conclusion In treatment of elderly patients with pelvic organ prolapse, placing silicone pessary can achieve similar clinical effects to modified vaginal hysterectomy, which can effectively improve prolapse and related urination symptoms, thereby improving the quality of life of patients. It is a safe and effective conservative treatment. The method is proved to be effective after research, and it can be used for reference and promotion in clinical practice.
作者
韦林宜
蒋丽
WEI Linyi;JIANG Li(Department of Obstetrics and Gynecology,Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital,Nanning 530000,China)
出处
《中国医药科学》
2019年第21期78-80,111,共4页
China Medicine And Pharmacy
基金
广东省至善妇儿健康关爱基金会关爱女性健康基金项目（【2018】01006）
关键词
盆腔脏器脱垂
硅胶子宫托
排尿症状
生活质量
Pelvic organ prolapse
Silicone pessary
Urination symptoms
Quality of life
