不同手术路径全子宫切除术后尿失禁的研究进展

Research Progress on Postoperative Urinary Incontinence after Total Hysterectomy with Different Surgical Pathways

子宫切除术是一种临床常用的治疗妇科疾病的手术方式。它不仅用于许多良性疾病,如平滑肌瘤和异常子宫出血。此外,对于妇科肿瘤及子宫脱垂等疾病,都建议对患者采取子宫切除术治疗。近年来随着手术技术及器械的进步,手术途径由传统开腹全子宫切除术逐渐发展为损伤更小的腹腔镜或经阴道途径。随着达芬奇手术机器人的问世,机器人辅助的腹腔镜手术亦成为一种选择。本文现就达芬奇机器人、腹腔镜和经阴道三种手术方式下行子宫切除对患者术后尿失禁的影响进行分析。

Hysterectomy is a commonly used surgical method for the treatment of gynecological diseases. It is not only used for many benign diseases such as leiomyoma and abnormal uterine bleeding. In addi-tion, hysterectomy is recommended for patients with gynecological tumors and diseases such as uterine prolapse. In recent years, with the advancement of surgical technology and instruments, the surgical route has gradually developed from the traditional open total hysterectomy to the less in-vasive laparoscopic or transvaginal route. With the advent of Leonardo’s surgical robot, ro-bot-assisted laparoscopic surgery has also become an option. In this article, the effects of hysterec-tomy on urinary incontinence of Leonardo’s robot, laparoscopic and transvaginal surgery are ana-lyzed.