摘要
目的：了解子宫脱垂与压力性尿失禁之间的关系、临床特点及手术情况。方法：对1996年1月～2004年12月间154例接受盆腔器官脱垂手术的病例进行回顾性分析，包括年龄、产次、职业、绝经情况、与压力性尿失禁的关系、手术情况及术后并发症。结果：154例患者中，10例为单纯性压力性尿失禁，144冽为生殖道脱垂，其中有9例为单纯阴道前壁或后壁膨出，135例为子宫脱垂，子宫脱垂患者中有70例（占51．9％）合并压力性尿失禁。子宫Ⅰ度脱垂患者36例，8例合并压力性尿失禁（占22．2％）；子宫Ⅱ度脱垂患者77例，44例合并压力性尿失禁（占57．1％）；子宫Ⅲ度脱垂患者22例，18例合并压力性尿失禁（占81．8％）。根据χ^2检验，三者比较差异有显著性（P〈0．05）。154例患者中，10例行1种术式，其中2例（占1．3％）单纯行阴道前壁修补术，8例（占5．2％）行阴式全子宫切除术；32例行两种术式，其中29例（占18．8％）行阴道前壁＋后壁修补术，3例（占1．9％）行阴式全子宫切除术＋阴道后壁修补术；108例（占70．1％）同时行阴式全子宫切除术＋阴道前壁、后壁修补术3种术式；4例（占2．6％）行3种以上术式。出现术后发热4例（占2．6％），术后出血过多需要输血4例（占2．6％），肺部感染2例（占1．3％），无1例泌尿生殖器官损伤及伤口感染，无1例患者死亡。结论：因子宫脱垂与压力性尿失禁往往同时存在，故手术常常同时进行，手术治疗以其低并发症及低死亡率，已成为治疗压力性尿失禁及盆腔器官脱垂的主要方法。
Objective： To study pelvic organ prolapse （POP） associated with stress urinary incontinence （SUI） and to summarize the clinical characteristics and surgery. Methods： Retrospective study included 154 patients undergoing surgical treatment for POP and SUI from January 1996 to December 2004, including age, occupation, par ity, menopausal status, surgery and complications. Results： 154 patients underwent surgery for prolapse, in which there were 10 patients with SUI, 9 patients with cystoeele or reetoeele and 135 patients with uterine prolapse. Of the 135 patients with uterine prolapse, 70 patients （ 51.9% ） complicated with SUI, 36 patients with type Ⅰ uterine prolapse included 8 patients with SUI ; 77 patients with type Ⅱ uterine prolapse included 44 patients with SUI ; 22 patients with type Ⅲ uterine prolapse included 18 patients with SUI; 10 patients had one procedure, including 2 （1.3%） eystoeele repair and 8 （5.2%） vaginal hysterectomy; 32 patients had two procedures, including 29 （ 18.8% ） eystoeele repairs and reetoeele repairs and 3 （ 1.9% ） vaginal hysterectomy and reetoeele repair; 108 patients （70. 1% ） had vaginal hysterectomy, eystoeele repair and reetoeele repair; 4 patients had more than three procedures; 4 patients （2. 6% ） had fevers on postoperative, 4 patients （2. 6% ） had transfusion, 2 patients （ 1.3% ） had pulmonary infection. No patient had injury complication and no one died. Conclusions： Women with POP often may have varying degrees of associated with SUI, so the surgeries to correct POP were often performed in conjunction with SUI. At present surgical operation is main treatment because of its low morbidity and mortality.
出处
《中国妇幼保健》
CAS
北大核心
2006年第19期2658-2659,共2页
Maternal and Child Health Care of China
关键词
子宫脱垂
压力性尿失禁
临床分析
Pelvic organ prolapse
Stress urinary incontinence
