摘要
目的:探析巨大子宫肌瘤患者腹腔镜下全子宫切除术后盆底功能障碍发生的相关因素。方法:选取丰城市妇幼保健院2019年6月-2021年6月收治的巨大子宫肌瘤患者80例作为研究对象,所有患者拟行腹腔镜下全子宫切除术治疗,并接受为期3个月的术后随访,设计基线资料调查表,记录患者研究所需资料,根据随访期间盆底功能障碍发生情况分为发生组和未发生组,采用logistic回归分析,了解巨大子宫肌瘤患者腹腔镜下全子宫切除术后盆底功能障碍发生的影响因素。结果:随访3个月,80例巨大子宫肌瘤患者中,有18例发生盆底功能障碍,发生率为22.50%;发生组绝经、肥胖、多次分娩、糖尿病比例高于未发生组,差异均有统计学意义(P<0.05);后进一步建立logistic回归模型分析,结果显示,绝经、肥胖、分娩次数、糖尿病是巨大子宫肌瘤患者腹腔镜下全子宫切除术后发生盆底功能障碍影响因素(OR>1,P<0.05)。结论:绝经、肥胖、多次分娩、糖尿病是巨大子宫肌瘤患者腹腔镜下全子宫切除术后发生盆底功能障碍影响因素。
Objective:To explore the related factors of pelvic floor dysfunction after laparoscopic total hysterectomy in patients with giant hysteromyoma.Method:A total of 80 patients with giant hysteromyoma treated in Fengcheng Maternal and Child Health Hospital from June 2019 to June 2021 were selected as the research subjects.All patients were prepared to receive laparoscopic total hysterectomy and followed up for 3 months after operation.Designed the baseline data questionnaire,and recorded data required for patients’study.According to the occurrence of pelvic floor dysfunction during follow-up,they were divided into occurrence group and non occurrence group.Logistic regression was used to analyze the influencing factors of pelvic floor dysfunction after laparoscopic total hysterectomy in patients with giant hysteromyoma.Result:The results of 3-month follow-up showed that 18 of the 80 patients with giant hysteromyoma had pelvic floor dysfunction,with an incidence of 22.50%;rates of menopause,obesity,times of delivery and diabetes mellitus in the occurrence group were higher than those in the non occurrence group,the differences were statistically significant(P<0.05).Then logistic regression model was established for analysis,and the results showed that menopause,obesity,times of delivery and diabetes mellitus were the influencing factors of pelvic floor dysfunction after laparoscopic hysterectomy for giant hysteromyoma(OR>1,P<0.05).Conclusion:Menopause,obesity,times of delivery and diabetes mellitus are the influencing factors of pelvic floor dysfunction after laparoscopic hysterectomy for patients with giant hysteromyoma.
作者
樊红
范文芳
FAN Hong;FAN Wenfang(Fengcheng Maternal and Child Health Hospital,Jiangxi Province,Fengcheng 331100,China;不详)
出处
《中国医学创新》
CAS
2022年第29期167-170,共4页
Medical Innovation of China
