摘要
目的：研究全子宫切除术对盆底功能障碍的影响。方法：选取2013年1月～2013年12月石河子大学医学院第一附属医院妇产科因子宫良性疾病（子宫肌瘤、子宫腺肌病、功能性血子宫出血）入院行全子宫切除术并经术前诊断合并POP≤Ⅱ度盆腔器官脱垂的240例患者进行随访调查。结果：患者在做Valsalva动作时膀胱颈尿道内口至耻骨下缘的距离，膀胱颈移动度，膀胱颈下移至耻骨联合下距离均较术前增大，而Valsalva动作时，尿道膀胱后角较术前减小，差异均有统计学意义（P〈0．05）。术后发生压力性尿失禁160例。问卷调查显示，术后患者问卷表分值均有所升高。结论：全子宫切除术会加重盆底功能障碍患者术后的盆腔的松弛状态，进而加重盆底功能障碍患者术后的脱垂状态，影响患者术后生活质量，应引起临床医生的高度重视。
Objective： To investigate emale pelvic floor function after total hysterectomy.Methods：Total 240 benign gynecological diseases （uterine fibroids,adenomyosis,dysfunctional uterine bleeding） patients who were diagnosed POP （POP≤Ⅱ degree）undergoing total hysterectomy from January 2013 to December 2013 in our hospital were followed up. Results ：The Valsalva action of mouth of the urethra and bladder neck to the lower edge of thepubic distance,bladder neck mobility and the distance of bladder neck down to the lower edge of pubic joint were statistically significantly higher than those states before total hysterectomy,but urinary bladder postdegree were statistically significantly smaller than those states before total hysterectomy.（P〈0.05）4 years after total hysterectomy, the number of stress urinary incontinence was 160,questionnaire scores of postoperative patients have been increased.Conclusion：Total hysterectomy would make PFD patients＇ pelvic floor muscles more relaxation than before,affect the quality of life,should attract the doctors＇ attention.
出处
《农垦医学》
2015年第4期294-297,共4页
Journal of Nongken Medicine
基金
2013年度科技惠民计划项目(2013GS650104)
