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目的探讨宫颈癌全子宫切除术后盆底功能障碍性疾病的发生情况。方法选取实施全子宫切除手术的97例宫颈癌患者,其中45例患者仅采用单一全子宫切除术加盆腔淋巴结清扫术(手术组),52例患者采用手术治疗联合放射治疗(联合组),计算两组患者术后排尿系统压力评测(UDI)和排便系统压力评测(DDI)评分,分析盆底功能障碍性疾病发生的危险因素。结果 UDI和DDI中,联合组患者UDI所有项目和DDI中腹泻发生率明显高于手术组患者,差异有统计学意义(P<0.05)。UDI中,两组患者尿急、尿失禁、排尿困难症状评分与腹泻、腹痛症状评分比较,差异有统计学意义(P<0.05)。患者年龄、吸烟与否、手术时间、术中出血量、宫颈癌分期、术后是否放疗和是否锻炼等与盆底功能障碍性疾病的发生有关(P<0.05),且患者年龄、手术时间、术中出血量、术后是否放疗为盆底功能障碍性疾病发生的独立影响因素。结论宫颈癌全子宫切除术后发生的盆底功能障碍性疾病严重危害患者的健康和生活质量。患者年龄、手术时间、术中出血量、是否放疗为盆底功能障碍性疾病发生的独立影响因素。
Objective To investigate the incidence of pelvic floor dysfunction after hysterectomy of cervical cancer. Methods Ninety-seven patients with cervical cancer undergoing hysterectomy were enrolled in this study. Forty-five patients underwent hysterectomy and pelvic lymphadenectomy (operation group). Fifty-two patients underwent combined surgery and radiotherapy (combined group) The urinary system pressure (UDI) and defecation system pressure (DDI) scores of two groups were analyzed to analyze the risk factors of pelvic floor dysfunction. Results In UDI and DDI, the incidence of diarrhea in all UDI patients and DDI in the combined group was significantly higher than that in the surgical group (P <0.05). UDI, urinary urgency, urinary incontinence, dysuria score and diarrhea, abdominal pain symptom scores of two groups of patients, the difference was statistically significant (P <0.05). Age, smoking or not, operation time, intraoperative blood loss, cervical cancer staging, postoperative radiotherapy and whether exercise and other pelvic floor dysfunction disease (P <0.05), and the patient's age, operation time, Intraoperative blood loss, postoperative radiotherapy for pelvic floor dysfunction disease independent factors. Conclusion pelvic floor dysfunction occurred after hysterectomy of cervical cancer seriously endanger the health and quality of life of patients. Patient age, operation time, intraoperative blood loss, radiotherapy for pelvic floor dysfunction disease is an independent factor.