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阴道封闭术对老年盆腔器官脱垂患者生活质量改善的效果观察

张迎辉 鲁永鲜 王文英 刘昕 刘静霞 沈文洁 赵英

感染、炎症、修复2011,Vol.12Issue(3):157-161,5.
感染、炎症、修复2011,Vol.12Issue(3):157-161,5.

阴道封闭术对老年盆腔器官脱垂患者生活质量改善的效果观察

Effects of colpocleisis on the symptoms and quality of life in elderly women with pelvic organ prolapse

张迎辉 1鲁永鲜 1王文英 1刘昕 1刘静霞 1沈文洁 1赵英1

作者信息

  • 1. 解放军总医院第一附属医院妇产科,北京,100048
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摘要

Abstract

Objective: To observe the effects of colpocleisis on the symptoms and quality of life in elderly women with pelvic organ prolapse (POP). Methods:From October 2005 to February 2010,60 patients with severe POP stage ID and Ⅳ as classified with POP-Q system underwent total and partial colpocleisis. Patients completed the pelvic floor distress inventory short form (PFDI-20) and pelvic floor impact questionnaire short form (PFIQ-7) before the operation! And they were repeated 2 months, 6 months, and 1 year,respectively, after the operation. Results: Among the 60 patients, 56(93%), 53(88%) and 52(87%) patients filled the questionnaires 2 months, 6 months, and 1 year after the operation respectively. Mean PFDI-20 score was improved significantly from 76. 78± 40. 71 at baseline to 15. 73±10. 55 at 2 months, 11.11±8. 23 at 6 months and 11. 06±8. 20 at 1 year after the operation. Mean PFIQ-7 score was improved significantly from 82. 41 ± 32. 49 at baseline to 17. 88 ± 18. 12 at 2 months, 12. 93±14. 74 at 6 months, and 12. 77± 14. 64 at 1 year after the operation(P=0. 000). Conclusions: Colpocleisis can effectively resolve bothersome vaginal or pelvic and urinary symptoms among elderly women with severe POP and can significantly improve their quality of life.

关键词

阴道封闭术/盆腔器官脱垂/生活质量/问卷调查

Key words

Colpocleisis/ Pelvic organ prolapse/ Quality of life/ Questionnaire

引用本文复制引用

张迎辉,鲁永鲜,王文英,刘昕,刘静霞,沈文洁,赵英..阴道封闭术对老年盆腔器官脱垂患者生活质量改善的效果观察[J].感染、炎症、修复,2011,12(3):157-161,5.

基金项目

首都医学发展科研基金(2007-2032) (2007-2032)

感染、炎症、修复

OACSTPCD

1672-8521

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