Prolift盆底重建术对盆腔器官脱垂患者生活质量影响分析

目的探讨Prolift盆底重建术对盆腔器官脱垂(POP)患者生活质量影响。方法回顾性分析2011年1月至2012年9月在我院行Prolift盆底重建术患者的临床资料及排尿症状,采用ICI-Q-SF问卷评估尿失禁的严重程度,根据有无合并压力性尿失禁(SUI)分为POP+SUI组和POP组,结合PFIQ-7生活质量问卷评估术前及术后6个月患者的生活质量,比较两组患者生活质量恢复情况,结果用SPSS 19.0进行统计学分析。结果总共随访了87例患者,POP+SUI组35例,POP组52例。两组患者术前Aa点、Ba点评分有统计学差异(P<0.05),POP+SUI组高于POP组,术后无统计学差异(P>0.05)。ICI-Q-SF症状评分平均分术前POP+SUI组高于POP组,术后无统计学差异(P>0.05)。术前PFIQ-7生活质量评分膀胱及排尿症状方面POP+SUI组明显高于POP组(P<0.05),术后1个月两组排尿症状有缓解,术后6个月两组无统计学差异(P>0.05)。结论 Prolift盆底重建术可改善POP患者的生活质量,尤其是POP合并SUI患者。

Effect of prolift pelvic reconstructive surgery on patients with pelvic organ prolapse in quality of life

Objective To research the effect of Prolift pelvic reconstructive surgery for pelvic organ prolapse （POP） patients. Methods Retrospectively analyzed the patients with POP from January 2011 to September 2012, all the people were divided into two groups （POP＋SUI, and POP） according to whether they were suffering SUI or not. ICI-Q-SF questionnaires were used to evaluate symptom, and PFDI-7 questionnaires were used to access the quality of life before, one month and six months after surgery. Data was analyzed by SPSS 19.0. Results The total patients were 87, in which 35 with POP and SUI, 52 with POP. Only the score of Aa and Ba had significant differences, moreover POP＋SUI group was higher than POP before surgery, there was no significant differences between the two groups after surgery. The mean score from ICI-Q-SF was higher in POP＋SUI group before surgery, but not after surgery. Significant differences were detected in quality of life at voiding symptoms before surgery, the symptoms were relieved one month after surgery, and no significant differences after six month. Conclusion Prolift pelvic reconstructive surgery could improve the quality of life for POP patients, especially for patients with POP and SUI.