PDF(Pubmed)
Abstract：
Uterine prolapse is a manifestation of pelvic organ prolapse distinguished by the descent of the uterus from its normal anatomical position into the vaginal canal. Vaginal hysterectomy is a surgical intervention performed to excise the uterus via the vaginal canal. Hysterectomy is correlated with various complications; thus, prompt mobilization and engagement in physiotherapy are imperative postoperatively. This is a case report of a 78-year-old female who reported a persistent sensation of something protruding from her vagina over the past two years. Investigations revealed a third-degree uterocervical descent, leading to the decision for a vaginal hysterectomy. Commencing on Day 5 post-surgery, early mobilization and a comprehensive physiotherapeutic regimen were implemented, encompassing breathing exercises, upper limb mobility exercises, core strengthening routines, pelvic floor exercises, and postural correction. Evaluation using the Modified Oxford Pelvic Floor Muscle Contraction Scale, Pelvic Floor Impact Questionnaire (PFIQ), and World Health Organization Quality of Life (WHO-QOL) demonstrated notable improvement. The findings suggest that promoting early mobilization and facilitating the rehabilitation of pelvic musculature, along with core strengthening through physiotherapy, plays a pivotal role in expediting recovery and enhancing the overall quality of life for hysterectomy patients, potentially alleviating difficulties in performing daily activities.
摘要：
子宫脱垂是盆腔器官脱垂的一种表现，其特征是子宫从其正常解剖位置下降到阴道腔。阴道子宫切除术是通过阴道腔切除子宫的外科手术。子宫切除术与各种并发症有关；因此，术后必须及时动员和参与物理治疗。这是一名78岁的女性的病例报告，她报告说，在过去的两年里，她的阴道有某种东西突出的持续感觉。调查显示子宫颈三度下降，导致阴道子宫切除术的决定。手术后第5天开始，实施了早期动员和全面的理疗方案，包括呼吸练习，上肢活动锻炼，核心强化例程，盆底锻炼,和姿势矫正。采用改良牛津盆底肌收缩量表进行评价,盆底冲击问卷（PFIQ），世界卫生组织的生活质量（WHO-QOL）显着改善。研究结果表明，促进早期动员和促进骨盆肌肉组织的康复，除了通过物理治疗进行核心强化，在加速子宫切除术患者的康复和提高整体生活质量方面发挥着关键作用，有可能减轻日常活动的困难。
