摘要
目的:观察腹腔镜子宫切除术对子宫内膜癌患者术后排尿及性功能的影响。方法:回顾性分析2017年1月-2018年12月本院收治的以子宫内膜癌为诊断的133例患者的资料,根据手术方式分为腹腔镜组87例(腹腔镜行子宫切除术)和常规组46例(常规开腹行子宫切除术)。对照两组膀胱功能、排尿功能及性功能。结果:腹腔镜组术后自由尿流率、充盈时期膀胱压、排尿期同步压力流率均明显多于常规组,首次自行排尿时间、膀胱剩余尿量、排尿完全恢复时间均明显少于常规组,首次排出尿量明显多于常规组,性功能各项评分均明显高于常规组,差异均有统计学意义(P<0.01)。结论:在子宫内膜癌患者中,采取腹腔镜子宫切除术,相对于传统开腹手术,可明显减少对膀胱功能、排尿功能及性功能的影响,将对患者功能影响降至最小。
Objective:To observe the effect of laparoscopic hysterectomy on urination and sexual function in patients with endometrial cancer after operation.Method:A retrospective analysis was made of 133 patients with endometrial cancer who treated in our hospital from January 2017 to December 2018.According to their surgical methods,87 patients underwent laparoscopic hysterectomy were divided into laparoscopic group and 46 patients underwent conventional laparotomy were divided into routine group.The bladder function,urination function and sexual function between two groups were compared.Result:The free urinary flow rate,bladder pressure during filling period and synchronous pressure flow rate during voiding period in laparoscopic group were significantly higher than those in control group,the first self-voiding time,residual urine volume and complete recovery time of voiding in laparoscopic group were significantly less than those in routine group,while the first voiding volume in laparoscopic group was significantly more than that in routine group,the scores of sexual function of patients were significantly higher than those of the routine group,and the differences were statistically significant(P<0.01).Conclusion:Compared with traditional open surgery,laparoscopic hysterectomy can significantly reduce the impact on bladder function,urination function and sexual function of patients with endometrial cancer,and minimize the impact on patients’function.
作者
姚瑾
YAO Jin(Shenyang Fifth People’s Hospital,Shenyang 110023,China)
出处
《中国医学创新》
CAS
2019年第28期32-35,共4页
Medical Innovation of China
关键词
腹腔镜
子宫切除术
子宫内膜癌
术后
排尿功能
性功能
Laparoscopic
Hysterectomy
Endometrial cancer
Postoperative
Urinary function
Sexual function
