| Objective To explore the clinical effects of improved pubic comb suspension + vaginal anterior and posterior wall repair and sacrospinous ligament suspension + vaginal anterior and posterior wall repair for the treatment of pelvic floor dysfunction(PFD). Methods A total of 106 patients with PFD in Chongqing West District Hospital and Chongqing Jiulongpo District Second People's Hospital from March 2021 to March 2023 were selected, and they were divided into a control group and a study group using a random number table method, with 53 cases in each group. A prospective study was conducted. The control group received sacrospinous ligament suspension + vaginal anterior and posterior wall repair treatment, while the study group received improved pubic comb suspension + vaginal anterior and posterior wall repair treatment. The surgical conditions, postoperative rehabilitation, surgical efficacy, vaginal ultrasound parameters, pelvic floor function, sexual function, quality of life, and postoperative complications were compared between the two groups. After one year of follow-up, the recurrence of the two groups was compared. Results There were no significant differences in operation time, blood loss, time to get out of bed, recovery time of gastrointestinal function, removal time of urinary catheter, total cost, and length of hospital stay between the two groups(P>0.05). The surgical efficacy of the study group was superior to that of the control group six months after surgery(P<0.05). Six months after surgery, the parameters of vaginal ultrasound in the study group were lower than those in the control group, and the shortening rate during anal contraction was higher than that in the control group; the pelvic floor function, sexual function, and quality of life in the study group were superior to those in the control group(P<0.05). Within one year after surgery, the recurrence rate in the study group was lower than that in the control group(P<0.05). There was no significant difference in the incidence of complications between the two groups within three months after surgery(P>0.05). Conclusion The treatment of PFD patients with modified pubic comb suspension and vaginal anterior and posterior wall repair can improve surgical efficacy, improve vaginal ultrasound parameters and pelvic floor function, sexual function, and enhance quality of life, with good safety. |
