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

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。

Effects of laparotomy and laparoscopic hysterectomy on urinary and sexual functions in patients with endometrial cancer

Objectives：To evaluate the effects of laparotomy and laparoscopic hysterectomy on urinary and sexual functions in patients with endometrial cancer.Method：110 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 significantly 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）.Conclusion：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.