摘要
目的了解子宫全切除术后患者的远期盆底功能情况。方法选取2005年1月—2006年7月于武汉市江夏区第一人民医院因妇科良性疾病（子宫肌瘤、子宫腺肌症、功血）行子宫全切除术的134例患者行随访调查，调查项目包括门诊常规妇科检查、盆底肌肉肌力（PFMS）分级测试、盆底功能影响问卷简表7（PFIQ．7）及盆底功能障碍问卷简表20（PFDI-20）。结果①134例患者为子宫全切除术后6～7年，发生压力性尿失禁89例（66．4％），尿频33例（24．6％），尿急28例（20．9％），便秘29例（21．6％），盆腔器官脱垂11例（8．2％）；②PFMS测试结果：肌力I级2例（1．5％），II级48例（35．8％），Ⅲ级71例（53．0％），IV级13例（9．7％）；③PFIQ-7评分的中位数为0分（0，49），PFDI-20评分的中位数为5分（0，37）。结论子宫全切除术对患者远期盆底功能可能存在影响，主要为压力性尿失禁。
Objective To investigate long term pelvic floor function after total hysterectomy. Methods Total 134 benign gynecological diseases（ uterine fibroids, adenomyosis,dysfunctional uterine bleeding） patients undergoing total hysterectomy from January 2005 to July 2006 in our hospital were followed up. The materials of receiving routine pelvic examination, pelvic floor muscle strength evaluations, Pelvic Floor Inventory Questionnaire （PFIQ-7） and Pelvic Floor Distress Inventory （PFDI-20） were collected and analyzed. Results （1）6 -7 years after total hysterectomy, the incidence of stress urinary incontinence was 66.4% ,of frequent micturition was 24.6%, of urgent urination was 20.9%, of constipation was 21.6% and of pelvic organ prolapsed was 8.2%. （2）PFMS test results ： 2 cases（ 1.5% ） were classified as grade I ,48 cases（35.8% ） were classified as grade II ,71 cases（53.0% ） were classified as grade III ,while 13（9.7% ） cases were classified as grade IV. （3）A median score of PFIQ-7 were 0（0,49） and a median score of PFDI-20 were 5（0,37）. Conclusion Hysterectomy may have a long-term effect on female pelvic floor function, especially results in the stress urinary incontinence.
出处
《中华全科医学》
2014年第3期422-423,431,共3页
Chinese Journal of General Practice
关键词
子宫全切除术
盆底功能
尿失禁
Total hysterectomy
Function of the pelvic floor
Urinary incontinence
