龚仪敏

【摘要】 目的：观察盆底重建术联合康复治疗仪对女性盆底功能障碍患者的治疗效果。方法：选择2019年3-12月于本院治疗的122例女性盆底功能障碍患者进行研究，以随机数字表法对患者分组，61例为研究组，61例为对照组。对照组给予传统手术联合康复治疗仪治疗，研究组采用盆底重建术联合康复治疗仪治疗，记录两组手术、排气、尿管留置、住院时间及术中出血量，治疗前、后记录两组盆底肌电活动和肌力，采用盆底功能障碍问卷评分评价两组盆底功能情况，记录两组并发症及术后12个月内复发情况。结果：研究组手术、排气、尿管留置、住院时间、术中出血量、并发症发生率、PFDI-20评分及复发率均低于对照组（P<0.05），肌电活动水平与盆底肌力均高于对照组（P<0.05）。结论：盆底重建术联合康复治疗仪治疗女性盆底功能障碍，可减少手术时间、术中出血量、尿管留置时间、排气时间、住院时间，促进盆底组织肌力恢复，减少盆底功能障碍，降低并发症发生率及复发率。

【关键词】 盆底重建术 康复治疗仪 女性盆底功能障碍 盆底组织肌力 并发症

Effect of Pelvic Floor Reconstruction Combined with Rehabilitation Therapy Instrument on Female Pelvic Floor Dysfunction/GONG Yimin. //Medical Innovation of China， 2021， 18（12）： -146

[Abstract] Objective： To observe the therapeutic effect of pelvic floor reconstruction combined with rehabilitation therapy instrument on female pelvic floor dysfunction. Method： A total of 122 female pelvic floor dysfunction patients who treated in our hospital from March to December 2019 were selected and randomly divided into the study group （61 cases） and the control group （61 cases）. Before and after treatment， the pelvic floor myoelectric activity and muscle strength of two groups were recorded. Pelvic floor dysfunction questionnaire was used to evaluate the pelvic floor function of two groups. The complications and recurrence within 12 months of two groups were recorded. Result： The operation， exhaust， catheter indwelling， hospitalization time， intraoperative blood loss， complication rate， PFDI-20 score and recurrence rate of the study group were lower than those of the control group （P<0.05）， the EMG activity and pelvic floor muscle strength of the study group were higher than those of the control group （P<0.05）. Conclusion： For female pelvic floor dysfunction， pelvic floor reconstruction combined with rehabilitation therapy instrument can reduce the operation time， intraoperative blood loss， catheter indwelling time， exhaust time， hospitalization time， promote the recovery of pelvic floor muscle strength， reduce pelvic floor dysfunction， and reduce the incidence of complications and recurrence rate.

[Key words] Pelvic floor reconstruction Rehabilitation instrument Female pelvic floor dysfunction Pelvic floor muscle strength Complication

First-authors address： Duodao District Peoples Hospital of Jingmen City， Jingmen 448000， China

doi：10.3969/j.issn.1674-4985.2021.12.034

盆底功能障礙是妇科常见疾病，其发生多与盆底支持结构薄弱有关，主要表现为压力性尿失禁、盆腔器官膨出、性功能障碍、盆腔慢性疼痛、大便失禁，在中老年女性中多发，发病率高达40.00%[1-2]。传统常采用阴道前、后壁修补术和子宫切除术等手术治疗，其反复加固盆底组织，缓解患者症状，术后存在大腿内侧疼痛、膀胱损伤、尿路感染等并发症，复发率高，多需给予二次手术[3-5]。盆底重建术是在患者体中植入聚丙烯网片，支撑盆底组织，帮助盆底解剖结构修复，术中出血量少，术后恢复快，临床广泛运用。盆底康复治疗仪可加强盆底功能训练，促进康复，巩固手术治疗。故本次研究旨在观察盆底重建术联合康复治疗仪对女性盆底功能障碍患者的治疗效果，现报道如下。……