不同术式子宫全切术对患者术后盆底功能的影响探究

Influence of different types of total hysterectomy on pelvic floor function after operation

目的:探究不同术式子宫全切术对患者术后盆底功能的影响。方法:回顾性收集我院妇科于2019年5月至2022年4月期间收治的100例行子宫全切术治疗患者的临床资料,根据手术方法的不同,分为对照组(48例,开腹下开展子宫全切术)和实验组(52例,腹腔镜下开展子宫全切术)。分析对比两组的术后恢复情况、术后并发症发生率及盆底功能障碍发生率以及性生活质量。结果:实验组术后尿管留置时间、术后首次下床活动时间、术后首次排气时间、术后首次排便时间均显著短于对照组(P<0.05)。实验组术后并发症发生率和盆底功能障碍发生率均显著低于对照组(P<0.05);性生活质量各项评分均显著优于对照组(P<0.05)。结论:腹腔镜下开展子宫全切术能促进患者术后恢复,降低术后并发症发生率及盆底功能障碍发生率,提升性生活质量。

Objective:To explore the effect of different types of total hysterectomy on pelvic floor function.Methods:The clinical data of 100 patients undergoing total hysterectomy treated in the Department of Gynecology of our hospital from May 2019 to April 2022 were retrospectively collected.According to the different surgical methods,they were divided into the control group(48 cases undergoing total hysterectomy under laparotomy)and the experimental group(52 cases undergoing total hysterectomy under laparoscopy).The postoperative recovery,incidence of postoperative complications,incidence of pelvic floor dysfunction and sexual life quality of the two groups were analyzed and compared.Results:The time of urinary catheter indentation,the first time of getting out of bed,the first time of exhaust and the first time of defecation in the experimental group were significantly shorter than those in the control group(P<0.05).The incidence of postoperative complications and pelvic floor dysfunction in the experimental group were significantly lower than those in the control group(P<0.05).The scores of sexual life quality were significantly better than those of control group(P<0.05).Conclusion:Laparoscopic total hysterectomy can promote postoperative recovery,reduce the incidence of postoperative complications and pelvic floor dysfunction,and improve the quality of sexual life.