国际妇产科学杂志

国际妇产科学杂志 ›› 2016, Vol. 43 ›› Issue (1): 116-118.

• 论著 • 上一篇    

Prolift术对盆腔器官脱垂患者盆底肌力的影响

龚瑶，王建军，李怀芳，童晓文   

  1. 400016 重庆医科大学附属第一医院妇产科（龚瑶）；同济大学附属同济医院妇产科（王建军，李怀芳，童晓文）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-02-15 发布日期:2016-02-15
  • 通讯作者: 童晓文

The Effect of the Prolift Procedure on the Pelvic Floor Muscle Strength in POP Patients

GONG Yao，WANG Jian-jun，LI Huai-fang，TONG Xiao-wen   

  1. Department of Obstetrics and Gynecology，The First Affiliated Hospital of Chongqing Medical University，Chongqing 400016，China（GONG Yao）；Department of Obstetrics and Gynecology，Tongji Hospital Affiliated Tongji University，Shanghai 200092，China（WANG Jian-jun，LI Huai-fang，TONG Xiao-wen）
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-02-15 Online:2016-02-15
  • Contact: TONG Xiao-wen

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摘要： 目的：评估Prolift手术前后盆腔器官脱垂（POP）患者盆底肌力的变化情况。方法：选择2011年3月—2013年4月于上海同济大学附属同济医院入院治疗的POP Ⅱ～Ⅳ度的患者37例，采用指检法和表面肌电图法测量并评价Prolift手术前后患者盆底肌力的变化情况，并与盆底功能正常者进行比较。结果：Prolift手术可有效改善患者的POP状态，术后36例患者POP-Q分度明显降低，达到解剖复位；术后6个月盆底肌力的Oxford分级、盆底肌最大收缩电压和收缩持续时间均较术前有明显提高（P=0.000），但均低于盆底功能正常者（P=0.000）。结论：Prolift手术可恢复盆腔器官的解剖结构，一定程度上可加强盆底肌力。

关键词: 骨盆, 脱垂, 骨盆底, 肌力, 直肠指检, 肌电描记术, 修复外科手术

Abstract: Objective：To evaluate the change of the pelvic floor muscle （PFM） strength in patients with pelvic organ prolapse (POP) before and after the Prolift procedure. Methods: The study recruited 37 POP patients with stage Ⅱ-Ⅳ under POP-quantification from March 2011 to April 2013 in Tongji Hospital Affiliated Tongji University. The PFM strength was measured by digital examination and surface electromyography (SEMG) to evaluate the changes of PFM strength in patients before and after surgery, and compare with patients with normal pelvic floor function. Results: Prolift surgery can effectively improve the patient′s state of pelvic organ prolapse. There are a total of 36 postoperative POP patients whose POP-Q index decreased, and reached anatomical reduction. After the 6 months′ follow-up, the Oxford degree of PFM, pelvic floor muscles maximum voltage and duration of the muscle contractions increased significantly in the Prolift group(P=0.000), but lower than patients with normal pelvic floor function (P=0.000）. Conclusions: The Prolift procedure could restore the pelvic anatomy and partly improve the PFM strength.

Key words: Pelvis, Prolapse, Pelvic floor, Muscle strength, Digital rectal examination, Electromyography