子宫全切术后发生盆底器官功能障碍的临床分析

发布时间：2018-03-29 13:18

本文选题：子宫全切　切入点：盆底器官功能障碍　出处：《新疆医科大学》2017年硕士论文

【摘要】：目的:子宫全切术后发生盆底器官功能障碍的临床分析。方法:采取1:1病例对照研究的方法。采取2013年1月1日至2013年12月31日新疆医科大学第一附属医院排除恶性、排除盆底功能障碍的行子宫全切术的患者278例患者为病例组,采取2013年1月1日至2013年12月31日在妇科除盆底器官功能障碍因良性疾病在妇科行手术(保留子宫卵巢)的病例中随机抽样278例病例作为对照组。对病例组、对照组患者进行病历调查、问卷调查及专科查体。经过Logistic回归分析、计数资料2?检验。结果:病例组实际到访人数243例,对照组实际到访人数249人,病例组中出现盆腔器官功能脱垂的比例为37.9%(92/243),对照组中出现盆腔器官功能脱垂者的比例为24.9%(62/249),病例组出现尿失禁的比例为28.8%(70/243),对照组出现尿失禁的比例为18.5%(46/249)。病例组发生便秘比例为32.9%(80/243),对照组发生便秘的比例为6.00%(15/249)。结论:1.术前子宫大小、产次及年龄是术后盆腔脱垂功能障碍的危险因素。2.子宫越大、产次越多、年龄越大术后发生盆腔脏器功能障碍越明显。3.子宫全切术后尿失禁、便秘的发生率增高。4.术中仔细操作避免周围脏器损伤,术后健康宣教,尽早行盆腔肌肉锻炼。
[Abstract]:Objective: to analyze the incidence of pelvic organ dysfunction after total hysterectomy. Methods: 1:1 case-control study was used to eliminate malignancy in the first affiliated Hospital of Xinjiang Medical University from January 1, 2013 to December 31, 2013. Total hysterectomy was performed in 278 patients with pelvic floor dysfunction. From January 1, 2013 to December 31, 2013, 278 gynecological patients who underwent gynecological surgery (preserving uterus and ovaries) with pelvic organ dysfunction due to benign diseases were randomly selected as the control group. The patients in the control group were investigated by medical records, questionnaire survey and special physical examination. After Logistic regression analysis, the count data were 2? Results: 243 cases were actually visited in the case group and 249 in the control group. The rate of pelvic organ function prolapse in the case group was 37.992 / 243g, in the control group 24.9 / 249. the rate of urinary incontinence in the case group was 28.875 / 243g, and the rate of urinary incontinence in the control group was 18.546 / 2490.The incidence of urinary incontinence was 18.546 / 249a in the case group. The constipation ratio is 32.910 / 243a, and the ratio of constipation in the control group is 6.00 / 2490.Conclusion: 1. The size of uterus before operation, Birth and age were the risk factors of postoperative pelvic prolapse dysfunction. 2. The bigger the uterus, the more the labor, the more obvious the pelvic organ dysfunction occurred after hysterectomy. 3. Urinary incontinence after total hysterectomy. The incidence of constipation. 4. Careful operation during operation to avoid peripheral organ injury, postoperative health education, pelvic muscle exercise as early as possible.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R713.42

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