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目的探讨盆底肌肉康复训练联合盆底重建术治疗女性盆底功能障碍性疾病的临床效果。方法选取212例盆底功能障碍性疾病患者为观察对象,按照随机数字表法分为观察组108例和对照组104例,观察组患者接受盆底肌肉康复训练联合盆底重建术。对照组患者接受盆底肌肉康复训练联合腹腔镜下高位骶韧带悬吊术。比较两组患者治疗前后的盆腔器官脱垂定量(PDF-Q)分度情况评价手术效果,调查盆底功能障碍问卷(PFDI-20)评分评定疗效,于术后3、6个月时门诊复查测定盆底肌力,对患者恢复情况进行综合评价。结果治疗后两组患者PDF-Q分度较治疗前均明显改善(P<0.05),且观察组患者术后3、6个月的PDF-Q分度均明显优于对照组(P<0.05);治疗后两组患者的PFDI-20评分较治疗前显著降低,观察组患者术后6个月的PFDI-20评分明显低于对照组(P<0.05);治疗后两组盆底肌力均明显提升,观察组患者术后3、6个月的盆底肌力均显著优于对照组(P<0.05)。结论盆底肌肉康复训练联合盆底重建术治疗盆底功能障碍性疾病疗效确切,患者盆底肌力恢复时间短,有助于改善生活质量,值得临床推广应用。
Objective To investigate the clinical effect of pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction in the treatment of female pelvic floor dysfunction disease. Methods A total of 212 patients with pelvic floor dysfunction were selected as observation objects. According to random number table, 108 patients in observation group and 104 in control group were enrolled. Patients in observation group received pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction. Patients in the control group received pelvic floor muscle rehabilitation training combined with laparoscopic high sacral ligament suspension. The results of pelvic organ prolapse quantitative analysis (PDF-Q) were compared before and after treatment to evaluate the effect of surgery, pelvic floor dysfunction questionnaire (PFDI-20) score assessment of curative effect, at 3,6 months after the clinic review Determination of pelvic floor muscle strength, comprehensive evaluation of the patient recovery. Results After treatment, the PDF-Q index was significantly improved in both groups (P <0.05), and the PDF-Q index at 3 and 6 months after operation in the observation group was significantly better than that in the control group (P <0.05 ). After treatment, the PFDI-20 scores of two groups were significantly lower than those before treatment. The score of PFDI-20 at 6 months after operation in the observation group was significantly lower than that in the control group (P <0.05). After treatment, the pelvic floor muscle strength Were significantly improved in observation group patients 3,6 months postoperative pelvic floor muscle strength were significantly better than the control group (P <0.05). Conclusions pelvic floor muscle rehabilitation training combined with pelvic floor reconstruction pelvic floor dysfunction disease curative effect is exact, patients with pelvic floor muscle recovery time is short, helps to improve the quality of life, is worthy of clinical promotion and application.