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Study the Etiology of Female Pelvic Floor Dysfunction and Review the Short-term Curative Effect of the Pelvic Floor Operation

Author: LiuYan
Tutor: LiRuiMan
School: Jinan University
Course: Obstetrics and Gynecology
Keywords: Pelvic floor dysfunction diseases Cause of disease Risk factors Surgical treatment
CLC: R713
Type: Master's thesis
Year: 2009
Downloads: 66
Quote: 0
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Abstract


Research purposes : short-term effect of disease risk factors (PFD) analysis of female pelvic floor disorders through questionnaires ; evaluation PFD surgical treatment . In order to improve the quality of lives of women , early prevention and treatment of women with PFD provide a clinical basis . Materials and Methods : randomly selected as the research object , Southern Medical University , Guangzhou Affiliated Hospital of Nanfang Hospital, Southern Medical University Affiliated Hospital and hospital 80 patients . Experimental group of 60 cases of control group 20 cases for the same age group of non- PFD patients hospitalized for other gynecological diseases PFD patients ; 1 line of female pelvic floor dysfunction clinical questionnaire ( self ) , clinical data collection ; gynecological examination : conventional Gynecological special examinations (referring to the pressure test , the pressure induced test , cotton stick tilt test , POP-Q score ) ; 3 . surgery : a simple vaginal anterior wall repair ; anterior vaginal posterior wall repair ; cervical resection of the anterior vaginal wall repair ; vaginal hysterectomy anterior vaginal wall repair ; vaginal hysterectomy vaginal ago Inferoposterior repair; : 1.21 patients with simple anterior wall of the vagina or the posterior wall prolapse , which combined with stress urinary incontinence , 52.38% ; 39 cases of patients with uterine prolapse , which combined with stress urinary incontinence accounted for 57.50 %; experimental group and the control group, BMI, mean arterial pressure , parity , age at menopause , birth weight , intrapartum perineal laceration , postpartum rest , postpartum SUI, prolonged labor , the difference was statistically significant (P lt ; 0.05 ) ; 3. experimental group and the control group , between the two groups at night to urinate , there are marked differences between urination frequency , urgency and other symptoms ( P lt; 0.05 ) ; the 4 postoperative urinary frequency , urgency, SUI, vaginal opening consciously tumor prolapse symptoms have disappeared; postoperative acupressure test , the pressure induced test , the cotton stick tilt test becomes negative ; POP - Q becomes 0 ; defecation , urination and habits has been significantly improved. Conclusion : 1.PFD common disease of women , is closely related to the incidence of pregnancy and childbirth , obesity , hypertension, menopause and constipation , one or more of the factors that can exist simultaneously . 2 . Surgery is the most effective treatment of the PFD .

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CLC: > Medicine, health > Obstetrics and Gynaecology > Gynecological surgery
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