腹腔镜下全子宫切除术与经腹全子宫切除术对宫颈癌患者术后排尿及性功能的影响  

Influence of Total Laparoscopic Hysterectomy and Trans-abdominal Hysterectomy on the Postoperative Urinary and Sexual Functions of Patients with Cervical Cancer

作　　者：王丹 黄文峰 Wang Dan;Huang Wenfeng(Gynecology and Obstetrics Department of Ninth People’s Hospital of Zhengzhou,Zhengzhou City,Henan 450053,China)

机构地区：[1]郑州市第九人民医院妇产科

出　　处：《中国烧伤创疡杂志》2019年第6期419-422,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的对比分析腹腔镜下全子宫切除术对宫颈癌患者术后排尿及性功能的影响。方法按照随机数表法将2015年5月至2019年5月郑州市第九人民医院妇产科收治的64例宫颈癌患者随机分为治疗组(32例)与对照组(32例),其中治疗组患者行腹腔镜下全子宫切除术治疗,对照组患者行经腹全子宫切除术治疗,对比观察两组患者的术中出血量、手术时间、术后住院时间、膀胱充盈感时间、排尿量恢复正常时间、并发症发生情况以及性交痛、性欲及性高潮评分。结果治疗组患者术中出血量明显少于对照组(t=11.170,P=0.000),手术时间明显长于对照组(t=6.552,P=0.000),术后住院时间、膀胱充盈感时间及排尿量恢复正常时间明显短于对照组(t’=9.368、t=3.004、t’=6.913,P=0.000、0.004、0.000),术后6个月性交痛、性欲及性高潮评分均明显高于对照组(t=3.109、t’=6.083、t=5.969,P=0.003、0.000、0.000)。结论腹腔镜下全子宫切除术治疗宫颈癌创伤小、术后恢复快,利于患者排尿功能的恢复,对性功能影响较小。Objective To comparatively analyze the influence of total laparoscopic hysterectomy on the postoperative urinary and sexual functions of patients with cervical cancer.Methods Sixty-four patients with cervical cancer admitted into the Gynecology and Obstetrics Department of Ninth People’s Hospital of Zhengzhou between May 2015 and May2019 were randomly divided into a treatment group(32 patients)and a control group(32 patients)according to the random number table.In the treatment group,the patients were treated with the total laparoscopic hysterectomy while the patients were given the trans-abdominal hysterectomy in the control group.The following indicators including intraoperative blood loss,operative time,postoperative hospital stay,time for bladder fullness,time of urine output back to normal,complication occurrence,and scores of dyspareunia,sexual desire and orgasm were observed and compared between the two groups.Results Compared with the control group,in the treatment group the intraoperative blood loss was markedly less(t=11.170,P=0.000),the operative time was obviously longer(t=6.552,P=0.000),the postoperative hospital stay,time for bladder fullness and time of urine output back to normal were all significantly shorter(t’=9.368,t=3.004 and t’=6.913 respectively,P=0.000,0.004 and 0.000 respectively),and scores of dyspareunia,sexual desire and orgasm were all obviously higher(t=3.109,t’=6.083 and t=5.969 respectively,P=0.003,0.000 and 0.000 respectively).Conclusion The total laparoscopic hysterectomy in the treatment of cervical cancer has little invasiveness and can realize fast postoperative recovery,facilitating the recovery of patients’urinary function and exerting little influence on their sexual function.

关 键 词：宫颈癌 腹腔镜 开腹 全子宫切除术 排尿 性功能 

分 类 号：R73[医药卫生—肿瘤]