中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
4期
16-18
,共3页
腹腔镜%子宫内膜癌%排尿功能%性功能
腹腔鏡%子宮內膜癌%排尿功能%性功能
복강경%자궁내막암%배뇨공능%성공능
Laparoscopy%Endometrial cancer%Urination%Sexual function
目的：探讨开腹式与腹腔镜下子宫切除术对子宫内膜癌患者排尿及性功能的影响。方法：子宫内膜癌患者110例根据随机抽签法分为治疗组与对照组各55例，治疗组给予腹腔镜下子宫切除治疗，对照组给予常规开腹子宫切除治疗。结果：两组手术时间对比差异无统计学意义，不过治疗组的术中出血量、肛门排气时间与术后住院时间明显少于对照组（P＜0.05）。治疗后治疗组尿潴留、切口出血与感染、泌尿系统损伤、肠道并发症等总体发生率明显少于对照组（P＜0.05）。治疗后治疗组的膀胱充盈感时间、获得满意排尿量时间与残余尿量≤100ml时间都明显短于对照组（P＜0.05）。随访3个月，治疗组的性欲与性高潮评分明显高于对照组，而性交痛评分明显低于对照组（P＜0.05）。结论：腹腔镜手术用于治疗子宫内膜癌是微创的，能有效缓解膀胱功能，提高性功能水平，安全性更好，值得临床推广应用。
目的：探討開腹式與腹腔鏡下子宮切除術對子宮內膜癌患者排尿及性功能的影響。方法：子宮內膜癌患者110例根據隨機抽籤法分為治療組與對照組各55例，治療組給予腹腔鏡下子宮切除治療，對照組給予常規開腹子宮切除治療。結果：兩組手術時間對比差異無統計學意義，不過治療組的術中齣血量、肛門排氣時間與術後住院時間明顯少于對照組（P＜0.05）。治療後治療組尿潴留、切口齣血與感染、泌尿繫統損傷、腸道併髮癥等總體髮生率明顯少于對照組（P＜0.05）。治療後治療組的膀胱充盈感時間、穫得滿意排尿量時間與殘餘尿量≤100ml時間都明顯短于對照組（P＜0.05）。隨訪3箇月，治療組的性欲與性高潮評分明顯高于對照組，而性交痛評分明顯低于對照組（P＜0.05）。結論：腹腔鏡手術用于治療子宮內膜癌是微創的，能有效緩解膀胱功能，提高性功能水平，安全性更好，值得臨床推廣應用。
목적：탐토개복식여복강경하자궁절제술대자궁내막암환자배뇨급성공능적영향。방법：자궁내막암환자110례근거수궤추첨법분위치료조여대조조각55례，치료조급여복강경하자궁절제치료，대조조급여상규개복자궁절제치료。결과：량조수술시간대비차이무통계학의의，불과치료조적술중출혈량、항문배기시간여술후주원시간명현소우대조조（P＜0.05）。치료후치료조뇨저류、절구출혈여감염、비뇨계통손상、장도병발증등총체발생솔명현소우대조조（P＜0.05）。치료후치료조적방광충영감시간、획득만의배뇨량시간여잔여뇨량≤100ml시간도명현단우대조조（P＜0.05）。수방3개월，치료조적성욕여성고조평분명현고우대조조，이성교통평분명현저우대조조（P＜0.05）。결론：복강경수술용우치료자궁내막암시미창적，능유효완해방광공능，제고성공능수평，안전성경호，치득림상추엄응용。
Objectives:To evaluate the effects of laparotomy and laparoscopic hysterectomy on urinary and sexual functions in patients with endometrial cancer.Method:1 10 patients with endometrial cancer were randomly divided into the treatment group and the control group.The treatment group received laparoscopic hysterectomy, while the control group received conventional laparotomy hysterectomy.Results:The operation time of the 2 groups was of no significant difference.The blood loss,anal exhaust time and postoperative hospital stay of the treatment group were significantly less than those of the control group (P<0.05 ).After treatment,the incidence of urinary retention,wound bleeding and infection,urinary system damage and intestinal complications of the treatment group were significantly lower than those of the control group (P<0.05 ).After treatment,the sense of bladder filling time,satisfactory urine output time and the time of residual urine volume ≤ 100ml of the treatment group were sig-nificantly less than those of the control group (P<0.05 ).3 months after the treatment,there were significantly higher sexual desire,higher orgasm scores,and lower sexual pain score in the treatment group (P<0.05 ).Con-clusion:Laparoscopic surgery in the treatment of endometrial cancer is minimally invasive.It can effectively relieve bladder function,improve sexual function level and is safety.It is worthy of clinical application.
