摘要
目的探讨子宫全切术后患者尿失禁的发生率及其影响因素。方法选择2008年1月-2011年1月在新疆医科大学第一附属医院妇科因良恶性疾病行子宫全切除术患者314例,分析手术范围、手术方式、子宫大小、手术时间、术中出血量、术后尿失禁的发病时间、既往手术史等影响因素与尿失禁的关系。结果子宫全切术后尿失禁发生率为30.9%(97/314)。不同手术方式、术中出血量、手术持续时间、子宫大小、既往手术史者术后尿失禁发生率差异有统计学意义(P<0.05),子宫大小、术中出血量是子宫全切术后出现尿失禁的危险因素(P<0.05,OR>1)。结论子宫全切术中子宫越大及术中出血量越多,术后尿失禁发生率越高。
Objective To explore and analyze on the incidence and impact of urinary incontinence after total hysterectomy. Methods We chose 314 patients who were suffered from gynecological benign and malignant diseases and were treated with the total hysterectomy from January 2008 to January 2011 in the First Affiliated Hospital of Xinjiang Medical University, and analyze the correlation between influencing factors of urinary incontinence and the scope of operation, operation mode, uterine size, operation time, intraoperative bleeding volume, onset time of postoperative urinary incontinence and operation history. Re- suits The incidence of postoperative urinary incontinence was 30.9%. The influencing factors include op- eration mode, the amount of intraoperative bleeding, duration of operation, uterine size, and operation history. Conclusion The uterine size and the bleeding volume during the total hysterectomy are the risk factors in inducing the postoperative urinary incontinence. The larger the uterus is and the more bleeding during the operation, the higher the incidence rate of urinary incontinence is.
出处
《新疆医科大学学报》
CAS
2014年第4期470-472,共3页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区自然科学基金(2013211A086)
关键词
子宫全切术
尿失禁
发生率
影响因素
hysterectomy
urinary incontinence
incidence rate
influence factors
