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目的探讨硅胶子宫托治疗盆腔器官脱垂的临床效果及副作用。方法选择2010年6月-2014年3月江门市中心医院57例盆腔器官脱垂评分(POP-Q)Ⅰ~Ⅲ期患者,采用合适型号的环形或盘状硅胶子宫托进行治疗,并于治疗后第3、6个月进行随访,采用盆底功能障碍问卷-短表20(PFDI-20)评估治疗效果。结果子宫托治疗后3个月PFDI-20评分[(139.72±29.83)分]与治疗前[(208.51±32.19)分]比较,差异有统计学意义(F=24.596,P=0.041)。治疗后6个月PFDI-20评分[(80.51±15.90)分]与治疗前和治疗后3个月比较均明显降低(F=51.062,P=0.005;F=33.287,P=0.033)。放弃使用者5例(8.77%,5/57),放弃使用时间为佩戴后2~31个月,平均为(10.21±3.25)个月;持续使用者52例(91.23%,52/57),佩戴中1例局部溃疡反复发作,对症治疗后好转。结论硅胶子宫托治疗盆腔器官脱垂短期内可取得满意的疗效,可明显缓解患者的脱垂症状。
Objective To investigate the clinical effects and side effects of silicone pessary in the treatment of pelvic organ prolapse. Methods From June 2010 to March 2014, 57 patients with pelvic organ prolapse score (POP-Q) Ⅰ ~ Ⅲ in Jiangmen Central Hospital were treated with the appropriate type of ring-shaped or disc-shaped silicone pessary for treatment. Follow-up was performed 3 months and 6 months later, and pelvic floor dysfunction questionnaire-short form 20 (PFDI-20) was used to assess the therapeutic effect. Results The PFDI-20 score [(139.72 ± 29.83) 3 months after treatment was significantly different from that before treatment [(208.51 ± 32.19) points] (F = 24.596, P = 0.041). The PFDI-20 score (80.51 ± 15.90) at 6 months after treatment was significantly lower than before treatment and 3 months after treatment (F = 51.062, P = 0.005; F = 33.287, P = 0.033). Five patients (8.77%, 5/57) gave up their use and the average usage time was (10.21 ± 3.25) months after wearing, ranging from 2 to 31 months after wearing. There were 52 (91.23%, 52/57) Wear 1 case of local ulcers recurrent, symptomatic improvement after treatment. Conclusion Silicone pessary can treat pelvic organ prolapse in a short period of time to obtain satisfactory curative effect, which can obviously relieve the patient’s prolapse symptoms.