腹腔镜下阴式全子宫切除术对患者术后盆底功能及性生活质量的影响

Effect of laparoscopic transvaginal hysterectomy on postoperative pelvic floor function and sexual life quality in patients with uterine benign lesions

目的:分析子宫良性病变患者采用腹腔镜下阴式全子宫切除术治疗对其盆底功能及性生活质量的影响。方法:选择某院收治的106例子宫良性病变患者,按抽签法分为对照组和观察组,每组各53例。对照组采用腹式全子宫切除术,观察组采用腹腔镜下阴式全子宫切除术,比较2组患者手术相关指标、盆底功能、性生活质量。结果:较对照组相比,观察组术中出血量少,手术时间、术后下床活动时间、排气时间短,FSFI评分高,2组比较差异有统计学意义(P<0.05);观察组阴道顶端脱垂、阴道前后壁膨出、性生活质量降低、压力性尿失禁等发生率均略低于对照组,但差异无统计学意义(P>0.05)。结论:子宫良性病变患者采用腹腔镜下阴式全子宫切除术可减轻机体创伤性,改善性生活质量,且盆底功能障碍发生率少,利于患者术后恢复。

Objective: To analyze the effect of laparoscopic transvaginal hysterectomy on postoperative pelvic floor function and sexual life quality in patients with uterine benign lesions. Methods: 106 patients with uterine benign lesions in a hospital were selected and were randomly divided into a control group and an observation group, with 53 cases in each. The control group underwent abdominal hysterectomy, while the observation group was treated with laparoscopic transvaginal hysterectomy. The surgical indexes, pelvic floor function, and sexual life quality were compared between the two groups. Results: Compared with the control group, the observation group enjoyed the merits such as less intraoperative bleeding volume, earlier postoperative out of bed and exhaust time, and shorter operation time, and the FSFI score in the observation group was also higher ( P <0.05).The incidence of vaginal apical prolapse, vertical enterocele, decreased sexual life quality, and stress incontinence in the observation group was slightly lower than that in the control group, but there was no statistical difference ( P >0.05). Conclusion: Laparoscopic transvaginal hysterectomy for patients with uterine benign lesions can reduce trauma, improve sexual life quality, have less incidence of pelvic floor dysfunction, and promote postoperative recovery.