兰州大学学报（医学版）2025，Vol.51Issue(7)：54-59,68,7.DOI:10.13885/j.issn.2097-681X.2025.07.008
盆腔器官脱垂患者子宫托治疗的依从性及影响因素分析
Treatment compliance and influencing factors of pessary therapy in patients with pelvic organ prolapse
摘要
Abstract
Objective To investigate the treatment compliance of pessary therapy in patients with pelvic organ prolapse(POP)and analyze its influencing factors.Methods A total of 106 patients who successfully used pes-sary for the first time were selected as the study subjects.Clinical data were collected and follow-ups made,and adherence rates recorded at 3,6,and 12 months.Patients who used the pessary for 12 months were cate-gorized as adherent,while those who used it for less than 12 months as non-adherent.Multivariate Logistic regression analysis was used to explore factors affecting adherence,and receiver operating characteristics(ROC)curves assessed indicators favoring continued use.Results There were 62 adherent and 44 non-adher-ent patients.Adherence rates were 96.23%(102 patients)at 3 months,77.36%(82 patients)at 6 months,and 58.49%(62 patients)at 12 months.Multivariate Logistic regression analysis showed that age,genital hiatus(gh),and vaginal total length(TVL)were independent factors influencing adherence(P<0.05).ROC curves indicated that patients older than 64 years(AUC=0.754),with gh less than 3 cm(AUC=0.626)and TVL greater than 7 cm(AUC=0.728)had higher adherence rates.These factors could help predict adherence to pessary treatment.Reasons for discontinuation among the 44 patients included cumbersome care(9 cases),disappearance of prolapse symptoms(4 cases),pregnancy(3 cases),perceived ineffectiveness(4 cases),and complications(24 cases).Conclusion Short-term adherence to pessary treatment is high among pelvic organ prolapse patients,but decreases over time due to age,gh,and TVL.Age>64 years,gh<3 cm,and TVL>7 cm are predictive indicators of decreased adherence.关键词
盆腔器官脱垂/子宫托/依从性/影响因素/佩戴率/Logistic回归分析Key words
pelvic organ prolapse/pessary/compliance/influencing factors/wearing rate/Logistic regression analysis分类
医药卫生引用本文复制引用
熊正花,苗娅莉,陆金芝,龙熙翠,冯媛,杨丽晔,赵菊芬,韩雪松..盆腔器官脱垂患者子宫托治疗的依从性及影响因素分析[J].兰州大学学报（医学版）,2025,51(7):54-59,68,7.基金项目
云南省"万人计划"名医专项人才项目(RLHXS20210331) （RLHXS20210331）
云南省卫生健康委员会医学领军人才培养计划项目(L-2019005) （L-2019005）
