阴道封闭术对盆腔器官脱垂患者排尿困扰症状的疗效观察
Therapeutic effect of colpocleisis on urinary symptoms in patients with pelvic organ prolapse
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摘要: 目的 探讨阴道封闭手术对盆腔器官脱垂(Pelvic Organ Prolapse,POP)患者排尿困扰的疗效。方法 2005年10月-2010年2月间采用盆底功能障碍症状问卷排尿困扰量表(Urinary Distress Inventory,UDI-6)和盆腔器官脱垂困扰量表(Pelvic Organ Prolapse Distress Inventory,POPDI-6)以及生活质量问卷排尿影响问卷(Urinary Impact Questionnaire,UIQ-7)和盆腔器官脱垂影响问卷(Pelvic Organ Prolapse Impact Questionnaire,POPIQ-7),对60例因POP-QⅢ-Ⅳ期重度POP实施阴道封闭手术患者,分别于术前、术后2个月、6个月及1年进行调查。结果 术后2个月、6个月及1年时随访率分别为93%(56/60)、88%(53/60)和87%(52/60)。术后2月时,全部患者排尿梗阻症状消失,尿频、尿急及压力性尿失禁明显缓解并维持至术后1年。手术前后的排尿困扰症状及生活质量评分显著下降,差异有统计学意义(P=0.000 0)。结论 阴道封闭手术可有效缓解POP患者排尿困扰,显著改善患者生活质量。Abstract: Objective To study the therapeutic effect of colpocleisis on urinary symtpoms in patients with pelvic organ prolapse(POP)Methods From October 2005 to February 2010,60 patients with stagesⅢandⅣPOP diagnosed with POP-Q system underwent total and partial colpocleisis.Outcomes of the patients were compared using the urinary distress inventory(UDI-6),pelvic organ prolapse distress inventory(POPDI-6) and urinary impact questionnaire(UIQ-7),and pelvic organ prolapse impact questionnaire(POPIQ-7) 2 months,6 months and 1 year respectively before and after operationResults The patients were followed up for 2 months,6 months and 1 year respectively after operation,with a follow-up rate of 93%(56/60),88%(53/60) and 87%(52/60) respectively.The obstructive urinary symtpoms disappeared completely 2 months after operation.The other symptoms such as frequency and urgency of urination as well as stress incontinence improved significantly 2 months after operation and maintained for 1 year.The mean score for urinary symtpoms and quality of life of the patients was significantly higher after operation than before operation(P=0.000 0)Conclusion Colpocleisis can effectively improve the urinary symtpoms and quality of life of patients with POP.
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