Clinical Observation Of The Effect Of Uterine To Pelvic Organ Prolapse

Objective:Non-surgical treatment Pessary(Pessary)for Pelvic organ prolapse(Pelvic outraged prolapse,POP)related clinical symptoms after treatment change and impact on patients quality of life.The Research Object and Methods:From January 2016 to December 2017,patients with Pelvic organ prolapse(POP)treated in the first hospital of shanxi medical university were selected as the subjects.Patients were included in the standard(1)with relevant clinical symptoms ?-? pelvic organ prolapse to nonsurgical treatment of patients,cognitive without exception,is not accompanied by serious reproductive tract infections,dyke break,cervical screening is normal,no abnormal uterine bleeding and pelvic floor muscle dysplasia congenital;(2)?-? degrees and with mild vaginal inflammation,organ prolapse patients with mild burst,preparation before surgery.To eliminate the pessary in the course of the study;The patients were interrupted and followed up.All subjects underwent outpatient doctor to guide treatment,through to the court or in the form of telephone follow-up,relevant clinical information form and fill in pelvic organ prolapse(PFDI-20 short form)and its effect on quality of life questionnaire for changes in patients with clinical symptoms before and after the treatment,before and after treatment comparison research,to investigate the effect of pessary in the treatment of pelvic organ prolapse,fill out the pessary use generalsituation questionnaire,the acceptance of pessary were observed.SPSS13.0 statistical software was used for statistical analysis of the rank and test of paired data.Results:1.Outpatient 39 patients with uterine off treatment,wear pessary and successfully completed a total of 35 patients with follow-up study,the follow-up rate was 89.7%,4cases of patients lost to follow-up,2 cases with pessary and difficult and give up the pessary treatment,2 cases of unexplained interruption of follow-up.2.The PFDI-20 questionnaire was completed in the three months before and after the use of the uterus and the uterus,except cardi-8(the related problem of intestinal prolapse)was not obvious,and all other indicators were significantly reduced.3.The clinical symptoms that affect the patients' quality of life were improved after the treatment of the uterus,the organ prolapse,the abnormal urination,the pelvic discomfort,and the backache of the lumbar acid.4.Patients in the study of satisfied with pessary wearing comfort,including 5 cases with symptoms of vaginal secretions increase,after wearing a pessary symptoms relieve after symptomatic treatment,did not find any complications.Conclusion:1.The non-surgical treatment method is satisfactory for the clinical treatment of pelvic organ prolapse,which can effectively improve the symptoms of pelvic organ prolapse and improve the quality of life of patients.2.The patient is satisfied with the wearing of the uterus,and the clinical promotion of the pessary is of positive significance.