全子宫切除术对女性盆底功能的影响  

Impact of Hysterectomy on Pelvic Floor Function in Women

作　　者：罗军[1] 李昂[1] 方超英[1] 

机构地区：[1]湖南省妇幼保健院,湖南长沙410008

出　　处：《医学临床研究》2013年第10期1943-1945,共3页Journal of Clinical Research

基　　金：湖南省科技厅项目（项目号2013FJ3111）

摘　　要：【目的】探讨经腹非脱垂子宫全切除术对女性盆底功能的近期影响。【方法】选择2011年6月至2012年6月在本院住院行经腹非脱垂子宫全切术患者70例为研究对象，对其术前、术后进行关于盆底功能障碍疾病问卷调查，并进行盆底肌肉肌力测定，从压力性尿失禁、盆底肌肉肌力等方面评价子宫全切术对女性盆底功能的影响。【结果】经腹子宫全切除术患者术后3个月、6个月、12个月随访出现不同程度压力性尿失禁，其发生率分别为5．71％，12．86％，18．57％，较术前发生率（2．86％）明显增高，且差异均有显著性（P〈0．05）。患者术后盆底肌肉肌力测试Ⅲ级以上者较术前呈下降趋势，且差异有显著性（P〈0．05）。【结论】经腹非脱垂子宫全切除术对女性盆底功能近期有明显影响。[Objective]To explore the short-term impact of transabdominal hysterectomy on pelvic floor function in women. [Methods]A total of 70 patients undergoing transabdominal hysterectomy in our hospital from June 2011 to June 2012 were enrolled in the study. The questionnaire survey on pelvic floor dysfunction before and after operation was performed. Pelvic floor muscle strength was measured. The impact of hysterectomy on pelvic floor function was assessed from the aspects such as stress urinary incontinence and pelvic floor muscle strength. [ResultslDifferent degrees of stress urinary incontinence occurred in patients undergoing transabdominal hysterectomy at 3 months, 6 months and 1 year after operation, and the incidence was 5.71 %, 12.86 % and 18.57 % respectively. Compared with before operation, the incidence after operation obviously increased（2.86%）, and there was significant difference（ P〈0. 05）. Compared with before operation, the number of patients with pelvic floor muscle strength more than grade Ⅲ after operation had a decreasing trend, and there was significant difference（ P 〈0. 05）. [Conclusion]Transabdominal hysterectomy has the significant short- term impact on female pelvic floor function in women.

关 键 词：子宫切除术 骨盆 

分 类 号：R713.42[医药卫生—妇产科学]