不同子宫切除术式对盆底功能及内分泌影响的研究  

Study on the Effect of Different Hysterectomy on Pelvic Floor Function and Endocrine

作　　者：孙光宇[1] SUN Guang-yu(Department of obsbetrics and gynecology Changzhou No.7 People＇s Hospital,Changzhou,Jiangsu Province,213000 China)

机构地区：[1]常州市第七人民医院妇产科,江苏常州213000

出　　处：《系统医学》2018年第15期126-128,共3页Systems Medicine

摘　　要：目的研究不同子宫切除术对盆底功能及内分泌的影响。方法选择该院2016年4月—2018年4月收治的需实施子宫切除术治疗的患者200例作为观察对象,针对患者的实际情况为患者实施腹腔镜下筋膜内子宫切除术(A组65例),实施经腹全子宫切除术(B组59例),腹腔镜下次切手术(C组76例),对比分析3种不同的手术方式对于患者盆底功能及内分泌的影响。结果 A组子宫切除术患者治疗后的尿频尿急发生率、骨盆肌收缩持续时间、尿失禁频率、残余尿量等指标与B组、C组子宫切除术患者相比差异有统计学意义(P<0.05);且A组治疗后的盆腔器官脱垂发生率(6.15%)明显低于B组(22.03%)及C组(14.47%),3组相比差异有统计学意义(χ2=6.592 6、4.537 4、1.298 8,P=0.010,0.033,0.254)。结论腹腔镜下筋膜内子宫切除术对尿动力、盆底功能的影响低于其他途径子宫全切术,具有较高的安全性及治疗效果,促进患者预后。Objective To study the effects of different hysterectomy on pelvic floor function and endocrine. Methods A total of 200 patients who underwent hysterectomy from April 2016 to April 2018 in the hospital were selected as subjects. The patients underwent laparoscopic intrafascial hysterectomy （group A of 65 patients） underwent transabdominal hysterectomy （59 patients in group B） and laparoscopic surgery （76 patients in group C）. The effects of three different surgical methods on pelvic floor function and endocrine were analyzed. Results The urinary frequency urgency rate, pelvic muscle contraction duration, urinary incontinence frequency, residual urine volume and other indicators in group A hysterectomy patients were significantly different from those in group B and group C hysterectomy,the difference was statistically significant（P〈0.05）; and the incidence of pelvic organ prolapse after treatment in group A （6.15%） was significantly lower than that in group B （22.03%） and group C （14.47%）,the different was statistically significant.（χ^2=6.592 6, 4.537 4,1.298 8,P=0.010,0.033,0.254）. Conclusion Laparoscopic intrafascial hysterectomy has lower effect on urinary motility and pelvic floor function than other methods of hysterectomy. It has high safety and therapeutic effect and promotes prognosis.

关 键 词：不同子宫切除术式 盆底功能 内分泌 

分 类 号：R711[医药卫生—妇产科学]