老年子宫脱垂患者术后新发压力性尿失禁情况及其影响因素分析  

Status of de novo stress urinary incontinence in elderly patients with uterine prolapse after surgery and its influencing factors

作　　者：陈雅囡 石荟莲[1] 郭方书 Chen Yanan;Shi Huilian;Guo Fangshu(Department of Obstetrics and Gynecology,Sixian People's Hospital,Suzhou 234300,China)

机构地区：[1]泗县人民医院妇产科,宿州234300

出　　处：《中华保健医学杂志》2024年第4期488-490,共3页Chinese Journal of Health Care and Medicine

基　　金：安徽省医药卫生科技计划项目(AHWJ2020a107)。

摘　　要：目的 分析老年子宫脱垂患者术后新发压力性尿失禁(de novo SUI)情况及其影响因素。方法 回顾性分析泗县人民医院2020年10月~2023年5月期间因子宫脱垂行手术治疗的60例患者,调查患者术后de novo SUI发生情况,将患者分为无de novo SUI组及de novo SUI组,通过单因素及多因素logistic回归分析影响患者术后de novo SUI发生的相关因素。结果 60例行手术治疗的子宫脱垂患者,18例患者术后发生de novo SUI,发病率为30.00%。单因素分析结果显示,体质量指数(BMI)、高血压史、巨大儿分娩史、糖尿病史、便秘史、盆腔手术史、雌激素治疗史是影响老年子宫脱垂患者术后de novo SUI的相关因素(χ^(2)=5.701、4.775、6.782、4.113、3.951、5.644、9.966,P<0.05)。多因素logistic分析结果显示,高血压史、巨大儿分娩史、糖尿病史、便秘史、盆腔手术史为老年子宫脱垂患者术后de novo SUI的独立危险因素(P<0.05)。结论 老年子宫脱垂患者术后存在一定的de novo SUI发生风险,高血压史、巨大儿分娩史、糖尿病史、便秘史、盆腔手术史为老年子宫脱垂患者术后de novo SUI的独立危险因素。Objective To analyze the status of de novo stress urinary incontinence(de novo SUI)in elderly patients with uterine prolapse after surgery and its influencing factors.Methods The clinical data of 60 patients who underwent surgical treatment for uterine prolapse in the hospital from October 2020 to May 2023 were analyzed retrospectively.Among the patients included,According to the presence or absence of postoperative de novo SUI,the patients were divided into the non-de novo SUI group and the de novo SUI group.Univariate analysis and multivariate logistic regression analysis were conducted to identify the factors affecting the occurrence of postoperative de novo SUI.Results In this study,18 patients developed de novo SUI after surgery,with an incidence of 30.00%.Univariate analysis found that BMI,hypertension history,history of delivering macrosomia,diabetes history,constipation history,history of pelvic surgery,and history of estrogen treatment were factors affecting the occurrence of de novo SUI in elderly patients with uterine prolapse after surgery(χ^(2)=5.701,4.775,6.782,4.113,3.951,5.644,9.966,P<0.05).Multivariate logistic analysis found that hypertension history,history of delivering macrosomia,diabetes history,constipation history and history of pelvic surgery(OR=2.489,95%CI=1.141~5.431,P=0.022)were independent risk factors for postoperative de novo SUI in elderly patients with uterine prolapse(P<005).Conclusion There is a certain risk of de novo SUI in elderly patients with uterine prolapse after surgery.Hypertension history,history of delivering macrosomia,diabetes history,constipation history and history of pelvic surgery are independent risk factors for de novo SUI in elderly patients with uterine prolapse after surgery.

关 键 词：子宫脱垂 老年 新发压力性尿失禁 阴式全子宫切除术 阴道前后壁修补术 

分 类 号：R713[医药卫生—妇产科学]