The Study Of Postoperation Effictive Evaluation For Female Pelvic Floor Dysfunction In The Xining Area

Objective:Valitation of clinical effects and quality-of-life outcomes between pelvic floorreconstruction with Surgimesh and traditional vaginal hysterectomy.Materials and methods:93cases that were diagnosed as femal pelvic floor dysfunction at AffiliatedHospital of Qinghai University from November2009to January2012were selected.According todifferent surgical approach,the patients were divided into two groups:the study group with51casesand the control group with42cases.The general clinical data of the two groups,age,body mass index,gravidity and parity,was no significant difference（P>0.05）.Comparing the cure rate of two differentoperations to evaluate the surgical effectiveness and comparing scores of pelvic floor impactquestionnaire-short form （PFIQ-7) and pelvic floor distress inventory-short form（PFDI-20）,preoperative and postoperative,to evaluate impact on quality-of-life.Results:1.The average operation times,the amounts of blood loss during and hospitalization timewere108.3±29.4minutes,192.3±72.9ml,7.1±1.5days in study group and127.0±18.5minutes,251.4±56.2ml,9.0±2.4days in control group.There were statistically significan（tP<0.05）except thetimes of indwelling urethral catheter,3.8±1.1days compared3.6±0.7days（P<0.05）.2. Compared100%follow-up rate of the study group,the follow-up rates of the control group after six months,oneyear and two years were, respectively,100%（42/42）,95.24%（40/42），92.86%（39/42）.The curerate of the study group after six months is higher than that of the control group,100%（51/51）compared95.24%（40/42）,but no statistically significant difference（P=0.115）;After one year andtwo years,the cure rate of the study group were higher, and a significant difference;3. Postoperativescores of PFIQ-7and PFDI-20compared with the preoperative scores decreased significantly（P<0.05）.But the two of the study group were lower than that of the control group（P<0.05）.Conclutions:1.pelvic floor reconstruction achieved the desired results,and improved quality-of-lifeof patients.2. Compared with transvaginal surgery,pelvic floor reconstruction surgery by Surgimeshhad lower recurrence rate,and can improve the quality of patients’ life more significantly.But thelong-term effect needs further follow-up and research.