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目的探讨子宫内膜癌患者腹腔镜下子宫切除术对患者膀胱功能、排尿功能的影响。方法选取接受子宫切除手术的110例患者进行回顾性研究,根据手术方法不同将患者分为开腹组(n=58)、腹腔镜组(n=52),开腹组患者采用传统开腹手术治疗,腹腔镜组患者采用腹腔镜手术治疗,对比两组患者手术后的膀胱功能及排尿功能。结果术后1周,腹腔镜组患者的尿频及尿不尽、排尿等待的发生率分别为5.77%、7.69%,均低于开腹组的18.97%、24.14%(P﹤0.05);术后1个月,腹腔镜组患者的尿频及尿不尽、排尿等待的发生率分别为1.92%、1.92%,均低于开腹组的12.07%、12.07%(P﹤0.05);术后1个月,腹腔镜组患者的残余尿量、膀胱壁厚度均低于开腹组(P﹤0.05),最大尿流率、平均尿流率、最大逼尿肌压力、膀胱顺应性、排尿量测定值均大于开腹组(P﹤0.05)。结论与传统开放手术相比,子宫内膜癌患者腹腔镜下子宫切除术对患者膀胱功能、排尿功能影响更小,泌尿系统并发症的发生率较低。
Objective To investigate the effect of laparoscopic hysterectomy on bladder function and urinary function in patients with endometrial cancer. Methods A total of 110 patients undergoing hysterectomy were retrospectively studied. Patients were divided into open group (n = 58) and laparoscopic group (n = 52) according to different surgical methods. Patients in open group were treated with conventional laparotomy The patients in laparoscopic group were treated with laparoscopic surgery. The bladder function and voiding function were compared between the two groups. Results The incidence of urinary frequency, urinary incontinence and voiding waiting in laparoscopic group were 5.77% and 7.69% respectively one week after operation, which were all lower than those in open group (18.97% and 24.14%, P <0.05) One month later, the frequency of urinary frequency, urinary frequency and urination waiting time in laparoscopic group were 1.92% and 1.92%, respectively, which were lower than 12.07% and 12.07% in open group (P <0.05) The residual urine volume and bladder wall thickness in the laparoscopic group were lower than those in the laparotomy group (P <0.05), the maximal uroflow rate, the average uroflow rate, the maximal detrusor pressure, the bladder compliance and the urinary output Values were greater than the open group (P <0.05). Conclusion Compared with the traditional open surgery, laparoscopic hysterectomy in patients with endometrial cancer has less effect on urinary bladder function and urinary function, and the incidence of urological complications is lower.