[摘要] 目的 分析全子宫切除术后盆底功能障碍发生的特点及其影响因素。方法 278例全子宫切除术治疗患者,术后2年左右进行妇科检查和相关生活质量调查,评价盆底功能。并采用Logistic回归分析其危险因素。结果 全子宫切除术术后2年,存在不同程度盆底功能障碍者共74例(26.6%)。生产次数和术后慢性腹压增高及手术方式是影响全子宫切除术后盆底功能的独立危险因素。结论 全子宫切除术后会存在一定盆底功能障碍的发生;生产次数越多、术后存在慢性咳嗽和便秘史以及采用经腹全子宫切除术者更易发生盆底功能障碍。

    [关键词] 全子宫切除术;盆底功能;生活质量;危险因素

    [中图分类号] R713.42[文献标识码] A [文章编号] 1673-9701(2009)36-45-03

    Impact of Hysterectomy on Pelvic Floor Function

    ZHENG Hongmei

    The Guiyang County People's Hospital,Guiyang 424400,China

    [Abstract] Objective To analyze the characteristics of pelvic floor dysfunction and its influencing factors after entire womb excision surgery. Methods A total of 278 patients underwent hysterectomy,the gynecological examination and survey of life quality and evaluation of pelvic floor function were conducted two years after of operation,and the risk factors were analyzed by using Logistic regression. Results There were 74 cases(26.6%) of pelvic floor dysfunction 2 years after hysterectomy. Delivery times,increased postoperative chronic abdominal pressure and surgical approach were independent risk factors affecting pelvic floor function after hysterectomy. Conclusion Pelvic floor dysfunction will occur after hysterectomy,and the more delivery times the women have,the more easily chronic cough,constipation and floor dysfunction due to hysterectomy may occur. ......