子宫切除术采用不同途径对子宫肌瘤患者术后预后与盆底功能的影响  

The effect of hysterectomy by different ways on the prognosis and pelvic floor function of patients with hysteromyoma

作　　者：李珊[1] Li Shan(Qinhuangdao City Harbour Hospital,Gynecology,Qinhuangdao,Hebei066000)

机构地区：[1]河北省秦皇岛市海港医院妇科

出　　处：《中外女性健康研究》2019年第15期9-10,共2页Women＇s Health Research

摘　　要：目的:探讨不同途径行子宫切除术对子宫肌瘤患者术后预后与盆底功能的影响。方法:选取本院2012年1月至2013年6月收治的子宫肌瘤患者90例,根据不同途径行子宫切除术分为两组,观察组(n=45)给予腹腔镜下筋膜内全子宫切除术治疗,对照组(n=45)给予阴式全子宫切除术治疗,对比两组患者围术期相关指标和盆底功能、生活质量以及并发症发生情况。结果:观察组患者手术时间明显长于对照组,术中出血量明显低于对照组,术后阵痛率明显小于对照组,术后排气时间、术后下床活动时间明显快于对照组,术后住院时间明显短于对照组,差异具有统计学意义(P<0.05)。观察组患者膀胱及直肠膨出、阴道顶端脱垂比例明显少于对照组,差异具有统计学意义(P<0.05)。观察组患者性生活障碍、排尿困难、压力性尿失禁比例明显少于对照组,差异具有统计学意义(P<0.05)。两组患者并发症发生率对比(4.44%vs15.56%)差异明显,具有统计学意义(P<0.05)。结论:腹腔镜下筋膜内全子宫切除术更加有效,可缩短住院时间,促进盆底功能恢复,且并发症少,更利于患者预后,提高患者生活质量。Objective:To investigate the effect of hysterectomy by different ways on the prognosis and pelvic floor function of patients with hysteromyoma.Methods:Ninety patients with hysteromyoma admitted to our hospital from January 2012 to June 2013 The observation group(n=45)was treated with laparoscopic intrafascial hysterectomy and the control group(n=45)was treated with vaginal hysterectomy.The perioperative phase of the two groups was compared.Closed indicators and pelvic floor function,quality of life and complications.Results:The operation time of the observation group was significantly longer than that of the control group,the amount of bleeding during operation was significantly highlower than that of the control group,the pain rate after operation was significantly lower than that of the control group,the exhaust time and the time of getting out of bed after operation were significantly faster than that of the control group,and the hospitalization time after operation was significantly shorter than that of the control group,with statistical significance(P<0.05).The proportions of bladder and rectocele and vaginal apex prolapse in the observation group were significantly less than those in the control group(P<0.05).The proportion of sexual life disorder,dysuria and stress urinary incontinence in the observation group was significantly lower than that in the control group(P<0.05).The incidence of complications in the two groups was 4.44%vs 15.56%.The difference was significant(P<0.05).Conclusion:Laparoscopic intrafascial hysterectomy is more effective,can shorten hospitalization time,promote pelvic floor function recovery,and fewer complications,more conducive to the prognosis of patients,improve the quality of life of patients.

关 键 词：子宫切除术 子宫肌瘤 术后预后 盆底功能 

分 类 号：R713.42[医药卫生—妇产科学]