郑红霞

【摘要】 目的：探討盆底重建结合电刺激疗法在女性盆底功能障碍性疾病患者治疗中的应用。方法：选取2017年1月-2019年5月本院收治的女性盆底功能障碍性疾病患者100例，并对其资料进行回顾性分析。按照治疗方法的不同，将其分为观察组和对照组，每组50例。观察组采用盆底重建手术结合电刺激疗法治疗，对照组采用盆底重建手术治疗。比较两组患者术前及术后6个月的盆底肌肌力情况、盆底功能障碍问卷（pelvic floor distress inventory-short form 20， PFDI-20）评分，并比较两组术后6个月、1年时的复发情况。结果：术后6个月，观察组盆底肌肌力情况明显优于对照组，差异有统计学意义（P<0.05）。术后6个月，观察组POPDI-6、CARDI-8、UDI-6及PFDI-20评分均明显低于对照组，差异均有统计学意义（P<0.05）。术后1年，观察组的复发率明显低于对照组，差异有统计学意义（P<0.05）。结论：盆底重建结合电刺激疗法在女性盆底功能障碍性疾病患者治疗中的应用价值较高，其可有效改善脱垂程度以及症状，复发率低，值得应用。

【关键词】 盆底重建 电刺激疗法 盆底功能障碍性疾病

Application of Pelvic Floor Reconstruction Combined with Electrical Stimulation Therapy in the Treatment of Female Patients with Pelvic Floor Dysfunction/ZHENG Hongxia. //Medical Innovation of China， 2021， 18（13）： 0-048

[Abstract] Objective： To investigate the application of pelvic floor reconstruction combined with electrical stimulation therapy in the treatment of female patients with pelvic floor dysfunction. Method： A total of 100 female patients with pelvic floor dysfunction admitted to our hospital from January 2017 to May 2019 were selected and their data were retrospectively analyzed. According to the different treatment methods， they were divided into observation group and control group， 50 cases in each group. The observation group received pelvic floor reconstruction surgery combined with electrical stimulation therapy， the control group received pelvic floor reconstruction surgery. The pelvic floor muscle strength and pelvic floor distress inventory-short form 20 （PFDI-20） scores were compared between the two groups before surgery and 6 months after surgery， and the recurrence rates at 6 months and 1 year after surgery were compared between the two groups. Result： 6 months after surgery， the pelvic floor muscle strength of the observation group was significantly better than that of the control group， the difference was statistically significant （P<0.05）. 6 months after surgery， the scores of POPDI-6， CARDI-8， UDI-6 and PFDI-20

in the observation group were significantly lower than those in the control group， the differences were statistically significant （P<0.05）. 1 year after surgery， the recurrence rate of observation group was significantly lower than that of control group， the difference was statistically significant （P<0.05）. Conclusion： Pelvic floor reconstruction combined with electrical stimulation therapy has a high application value in the treatment of female patients with pelvic floor dysfunction， which can effectively improve the degree and symptoms of prolapse， and has a low recurrence rate， so it is worthy of application.

[Key words] Pelvic floor reconstruction Electrical stimulation therapy Pelvic floor dysfunction

First-authors address： Jiamusi Maternal and Child Health Hospital， Jiamusi 154000， China

doi：10.3969/j.issn.1674-4985.2021.13.011

女性盆底功能障碍性疾病（pelvic floor dysfunction）是一种临床上常见的妇科疾病，是一种由盆底支撑结构发生功能性缺失或障碍引起的疾病，从而导致患者盆腔内脏器的位置及功能发生异常的变化，大多表现为盆腔脏器脱垂、压力性尿失禁等，严重影响患者的生活质量[1-3]。近年来，女性盆底功能障碍性疾病的发病率呈现逐年上升的趋势，尤其是中老年女性，随着年龄的增长，身体机能减退，患病率较高。现阶段临床治疗该疾病的方法有手术、盆底肌肉训练、电刺激等，传统手术如阴式子宫全切手术等风险较高，且随着科技的进步及医学研究的深入，盆底重建术应运而生，其具有创伤小、恢复快的优点[4-5]。而术后的功能恢复也是十分重要的，研究发现，电刺激治疗可增强盆底肌肉群的收缩能力，从而提高盆底肌力以及盆底神经组织的活性。……