【摘要】 目的探讨硅胶子宫托治疗盆腔器官脱垂的临床效果及副作用。方法选择2010年6月-2014年3月江门市中心医院57例盆腔器官脱垂评分(POP-Q)Ⅰ~Ⅲ期患者,采用合适型号的环形或盘状硅胶子宫托进行治疗,并于治疗后第3、6个月进行随访,采用盆底功能障碍问卷-短表20(PFDI-20)评估治疗效果。结果子宫托治疗后3个月PFDI-20评分[(139.72±29.83)分]与治疗前[(208.51±32.19)分]比较,差异有统计学意义(F=24.596,P=0.041)。治疗后6个月PFDI-20评分[(80.51±15.90)分]与治疗前和治疗后3个月比较均明显降低(F=51.062,P=0.005;F=33.287,P=0.033)。放弃使用者5例(8.77%,5/57),放弃使用时间为佩戴后2~31个月,平均为(10.21±3.25)个月;持续使用者52例(91.23%,52/57),佩戴中1例局部溃疡反复发作,对症治疗后好转。结论硅胶子宫托治疗盆腔器官脱垂短期内可取得满意的疗效,可明显缓解患者的脱垂症状。更多还原

【Abstract】 Objective This study aimed to investigate the clinical effects and side effects of silicone pessary treatment for pelvic organ prolapse(POP).Methods 57 cases of POP with stageⅠ~Ⅲ(POP-Q stage)recruitedin this study in Jiangmen Central Hospital from June 2010 to March 2014.All patients received appropriate ring or disc type of silicone pessaries.Patients were under follow-up and then the treatment effects was assesse by PFDI-20 questionnaire.Results After the 3rd month,PFDI-20score(208.51±32.19)was significantly lower than that of before treatment(139.72±29.83)(F=24.596,P=0.041).After 6 month,the score of PFDI-20 was significantly lower than that of before treatment and at 3rd month(F=51.062,P=0.005 and F=33.287,P=0.033,respectively).Five cases(8.77%,5/57)abandoned using pessery after(10.21±3.25)months’ treatment(2to 31months).The other 52cases(91.23%,52/57)were continuously using pessary.There was only 1case suffer from local ulceration and ameliorated after treatment.Conclusions Silicone pessary can significantly improve the symptoms of POP.更多还原