腹腔镜全子宫切除术后并发症与生殖道支原体关系分析

Analysis of the Relationship between Complications and Genital Mycoplasma after Laparoscopic Total Hysterectomy

目的:探讨腹腔镜全子宫切除术后并发症与生殖道支原体感染的关系。方法:回顾性分析2013年1月—2017年11月住院需行腹腔镜全子宫切除术的患者,共438例作为研究对象,对所有患者进行生殖道支原体培养,根据培养结果分为观察组(支原体阳性组)及对照组(支原体阴性组),对两组患者术后并发症的发生进行分析。结果:通过对两组患者术后3个月内的观察,发现两组患者术后腹部切口感染裂开、盆腔感染、术后病率、阴道残端裂开、阴道残端出血、阴道残端息肉形成的差异均无统计学意义(P>0.05)。结论:对于无急性泌尿生殖道感染症状、仅生殖道支原体阳性者,行腹腔镜全子宫切除术并未增加术后并发症的发生。

Objective:To investigate the relationship between complications after laparoscopic hysterectomy and infection of mycoplasma in the genital tract.Methods:A retrospective analysis of patients undergoing laparoscopic total hysterectomy from January 2013 to November 2017 was performed. A total of 438 patients were studied.All patients were cultured with M.genitalium and divided into observation groups(mycoplasma) according to the culture results.The positive group and control group(mycoplasma-negative group) analyzed the incidence of postoperative complications in both groups.Results:Through observation of the two groups of patients within 3 months after surgery,it was found that the abdominal incision infection dehiscence, pelvic infection, postoperative morbidity,vaginal stump rupture, vaginal stump bleeding, and vaginal stump polyps occurred in both groups after operation.The difference was not statistically significant(P>0.05).Conclusion:Laparoscopic total hysterectomy does not increase the incidence of postoperative complications in patients with no acute genitourinary tract infection symptoms and only genital mycoplasma positive.