摘要
目的:探讨子宫脱垂与非脱垂患者行全子宫切除术对盆底功能的影响。方法:检索中国知网、Ovid数据库(1994年—2010年),查阅《临床妇科学》,选择有关脱垂与非脱垂患者行全子宫切除术的相关文献,进行分析,提取相关信息,总结盆腔器官脱垂患者全子宫切除后脱垂复发、非脱垂患者采用不同术式行全子宫切除后出现脱垂与子宫全切的关系。结果:子宫脱垂行全子宫切除术+阴道修补术患者脱垂复发率为3.5%;非子宫脱垂患者经腹全子宫切除术后脱垂发病率为3.0%;腹腔镜子宫切除术(包括腹腔镜辅助下阴式子宫切除术)后脱垂发病率4.8%;筋膜内子宫切除术后脱垂发病率6.9%;阴式子宫全切术后脱垂发病率0.6%。结论:脱垂或膀胱、直肠膨出是全子宫切除术后远期并发症之一,但现阶段研究术后随访全子宫切除术对盆底功能的影响,不能从众多影响因素中揭示二者的确切关系。
Objective：To analyze the influence of hysterectomy on pelvic floor function between uterine prolapse patients and patients with non-prolapse.Methods：To search China How Net,Ovid database（1994—2010）,access to ＂clinical gynecology＂,select the hysterectomy of prolapse and non-prolapse patients related literature,to analysis and extract relevant information,to summary pelvic organ prolapse patients recurrent of prolapse after hysterectomy and patients with non-prolapse choose different technique on recurrence of prolapse after hysterectomy and hysterectomy relationship.Results：Uterine prolapse with total hysterectomy in patients with vaginal repair relapse rate was 3.5%.Patients with non-uterine prolapse after abdominal hysterectomy incidence of prolapse was 3.0%.Laparoscopic hysterectomy（including laparoscopic assisted vaginal hysterectomy） incidence of prolapse was 4.8%.Fascial hysterectomy incidence of prolapse was 6.9%.Vaginal hysterectomy incidence of prolapse was 0.6%.Conclusion：Prolapse or bladder,rectal prolapse after hysterectomy is one of long-term complications,but the patients at this stage were followed the influence of hysterectomy on pelvic floor function can not be revealed the exact relations from a number of factors.
出处
《临床医药实践》
2011年第4期249-252,共4页
Proceeding of Clinical Medicine
关键词
子宫切除
子宫脱垂
研究
hysterectomy
uterine prolapse
stuty
