论文部分内容阅读
目的分析经腹和腹腔镜全子宫切除术对女性盆底功能的影响。方法随机抽取漯河市第六人民医院自2013年1月至2015年1月收治的80例子宫病变患者作为研究对象,分为对照组与观察组各40例,对照组采用经腹全子宫切除术,观察组则应用腹腔镜全子宫切除术,比较两组患者的治疗效果,观察不同手术方式对患者盆底功能的影响。结果观察组恢复优31例,良7例,优良率为95.0%,明显高于对照组的75.0%,两组对比差异有统计学意义(P<0.05);观察组Ⅰ级脱垂3例,Ⅱ级无,对照组Ⅰ级2例,Ⅱ级5例,对照组脱垂程度明显高于观察组,两组对比差异有统计学意义(P<0.05),但整体脱垂率对比差异未见统计学意义(P>0.05)。结论经腹和腹腔镜全子宫切除术对子宫病变患者盆底功能均可能造成一定的损伤,在保护盆底功能方面,腹腔镜全子宫切除术并未凸显其优势,但腹腔镜下全子宫切除术治疗子宫病变患者优良率较高。
Objective To analyze the effect of transabdominal and laparoscopic hysterectomy on pelvic floor function in women. Methods Eighty patients with uterine lesions who were treated in the Sixth People’s Hospital of Luohe City from January 2013 to January 2015 were randomly divided into control group and observation group, 40 cases in each group. The control group received abdominal hysterectomy , The observation group was applied laparoscopic hysterectomy, the treatment effect of two groups were compared to observe the different surgical methods on pelvic floor function in patients. Results In the observation group, the excellent recovery rate was 31 cases and good in 7 cases, the excellent and good rate was 95.0%, which was significantly higher than that in the control group (75.0%), the difference was statistically significant (P <0.05) Grade Ⅱ, control group Ⅰ grade 2 cases, grade Ⅱ 5 cases, the control group prolapse was significantly higher than the observation group, the difference between the two groups was statistically significant (P <0.05), but the overall prolapse rate of the difference was not seen Statistical significance (P> 0.05). Conclusions Transabdominal and laparoscopic hysterectomy may cause some pelvic floor dysfunction in patients with uterine lesions. Laparoscopic hysterectomy does not show its superiority in protecting pelvic floor function. However, laparoscopic hysterectomy Excellent treatment of uterine lesions in patients with high rates of good.