腹腔镜与腹式全子宫切除术两术式对女性盆底功能的影响探析  

Effect of Laparoscopy and Total Hysterectomy on Pelvic Floor Function in Women

作　　者：黄芳 HUANG Fang(Guangdong East Hospital,Third Affiliated Hospital of Sun Yat-sen University Gynaecology,Meizhou,Guangdong 514700)

机构地区：[1]中山大学附属第三医院粤东医院妇科,广东梅州514700

出　　处：《智慧健康》2020年第26期44-46,共3页Smart Healthcare

摘　　要：目的腹腔镜与腹式全子宫切除术两术式对女性盆底功能的影响探析。方法本实验所选90例子宫良性病变需要进行全宫切除患者均为本院2019年1月至2020年1月接收,基于系统抽样法分为两组,各45例,对照组与观察组分别开展腹腔镜全子宫切除术与腹式全子宫切除术,对两组治疗效果及对盆底功能的影响进行观察。结果在治疗优良率方面,观察组与对照组分别是93.33%和77.78%,观察组比对照组高,差异显著(χ^2=4.406;P=0.036);在残端脱垂、性生活障碍、直肠膨出、压力性尿失禁和膀胱膨出发生率方面,观察组分别是2.22%、4.44%、0.00%、2.22%和0.00%,对照组分别是13.33%、17.78%、8.89%、15.56%和11.11%,观察组均比对照组低,差异明显(χ^2=3.873、4.050、4.186、4.939、5.294;P=0.049、0.044、0.041、0.026、0.021)。观察组手术时间、术中出血量、术后排气时间、术后疼痛评分、术后住院时间均低于对照组,差异明显(t=3.842、4.365、6.703、4.336、5.375;P=0.031、0.023、0.000、0.025、0.000)。结论腹腔镜全子宫切除术对女性盆底功能的影响比腹式全子宫切除术小,不仅可以获取理想的治疗效果,同时可使患者盆底功能改善,优化患者的临床指标,提升患者疾病预后治疗效果,值得采纳、推广。Objective To observe the effect of laparoscopy and total hysterectomy on pelvic floor function in women.Methods In this experiment,90 cases of benign uterine lesions needed total hysterectomy were received from January 2019 to January 2020,based on systematic sampling,divided into two groups,45 cases each,the control group and the observation group respectively carried out laparoscopic total hysterectomy and abdominal total hysterectomy to observe the therapeutic effect of the two groups and the effect on pelvic floor function.Results In terms of the excellent and good rate of treatment,the observation group and the control group were 93.33%and 77.78%,respectively,the observation group was higher than the control group,the difference was significant(χ^2=4.406;P=0.036),the incidence of residual prolapse of rectum,pressure incontinence and bladder bulge was 2.22%,4.44%,0.00%,2.22%and 0.00%,respectively,the control group was 13.33%,17.78%,8.89%,51.11%and the observation group was significantly lower than the control group(χ^2=3.873,4.050,4.186,4.939,5.294;P=0.049,0.044,0.041,0.026,0.021).the operative time,intraoperative bleeding,postoperative exhaust time,postoperative pain score,and postoperative hospitalization time in the observation group were all lower than those in the control group(t=3.842,4.365,6.703,4.336,5.375;P=0.031,0.023,0.000,0.025,0.000).Conclusion The effect of laparoscopic total hysterectomy on female pelvic floor function is smaller than that of abdominal total hysterectomy,which cannot only obtain ideal treatment effect,but also improve the pelvic floor function of patients,optimize the clinical index of patients and improve the prognosis of patients’disease treatment effect,which is worthy of adoption and promotion.

关 键 词：盆底功能 腹式全子宫切除术 腹腔镜全子宫切除术 

分 类 号：R713.4[医药卫生—妇产科学]