Effect of Laparoscopic-assisted Vaginal Hysterectomy on Perioperative Parameters and Long-term Pelvic Floor Function in Patients with Cervical Carcinoma in situ
LI Yue, YE Liu
Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, ShangHai 200011, China
Abstract：Objective: To investigate the effect of laparoscopic assisted vaginal hysterectomy on perioperative indexes and long term pelvic floor function in patients with carcinoma in situ of cervix. Methods: 120 patients with carcinoma in situ of cervix, treated in our hospital from June 2014 to June 2017, were randomly divided into experimental group (n=60) and control group (n = 60). 60 patients of the control group were treated with abdominal panhysterectomy, and 60 patients of the experimental group were treated with laparoscopic-assisted vaginal hysterectomy;all patients were followed up for 12 months.The perioperative indexes and pelvic floor function of the two groups were observed. Result: Compared with the control group, the operation time (t =2.579,P=0.011), postoperative exhaust time (t =1.994,P=0.048) ,anti- infective therapy time (t =5.234,P<0.001), ambulation time (t =8.678,P<0.001), hospitalization time (t =9.610,P<0.001)of the patients in the experimental group were significantly shorter, and intraoperative blood loss (t =11.343,P<0.001) was significantly lower, the differences were statistically significant.In addition, the incidence of postoperative complications in the experimental group was 1.67% (1/60), significantly lower than 16.67% (10/60) of the control group, the difference was statistically significant (χ2=8.107, P=0.004).The degree of pain in the experimental group was significantly lower than that in the control group, the difference was significant (P<0. 05). The patients with poor quality of life and stress urinary incontinence were more than preoperative in two groups(P<0.05). There was no significant difference between the two groups in the pelvic floor function after the operation for 6 months and 12 months. Conclusion: Laparoscopic assisted vaginal hysterectomy for the treatment of carcinoma in situ of cervix with low intraoperative blood loss, fast recovery,less postoperative complications and less pain; but it could affect the pelvic floor function after operation.
李玥, 叶柳. 腹腔镜辅助阴式全子宫切除术对宫颈原位癌患者围术期指标及长期盆底功能的影响[J]. 河北医学, 2019, 25(7): 1194-1197.
LI Yue, YE Liu. Effect of Laparoscopic-assisted Vaginal Hysterectomy on Perioperative Parameters and Long-term Pelvic Floor Function in Patients with Cervical Carcinoma in situ. HeBei Med, 2019, 25(7): 1194-1197.
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2019, Vol. 25 
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