|
|
|
| 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.
|
|
|
|
|
|
[1] 程绍云,华裕忠,牟晓峰,等.宫颈上皮内瘤样病变患者宫颈人乳头瘤病毒感染状况的筛查[J].中华医学杂志,2015,95(11):857~859.
[2] Apgar BS, Kaufman AJ, Bettcher C,et al. Gynecologic procedures: colposcopy, treatments for cervical intraepithelial neoplasia and endometrial assessment[J]. Am Fam Physician,2013,87(12):836~843.
[3] 陈晓芹.腹腔镜辅助下阴式子宫全切和阴式子宫全切用于非脱垂子宫切除的效果比较[J].现代中西医结合杂志,2017,26(32):3620~3622.
[4] González-Bosquet E, Fernandez S, Sabra S, et al. Negative HPV testing among patients with biopsy-proven cervical intraepithelial neoplasia grade 2/3 or cervical cancer[J]. Int Gynaecol Obstet,2017,136(2):229~231.
[5] Pirtea L, Grigoras D, Matusz P, et al. Age and HPV type as risk factors for HPV persistence after loop excision in patients with high grade cervical lesions: an observational study[J]. BMC Surg,2016,16(1):70.
[6] 陈燕.子宫全切术和LEEP刀锥切术治疗宫颈原位癌的近期疗效比较[J].河北医学,2016,22(7):1136~1139.
[7] Ortega-Cervantes L, Aguilar-Lemarroy A, Rojas-García AE,et al. Human papilloma virus genotypes in women from Nayarit, Mexico, with squamous intraepithelial lesions and cervical cancer[J]. Int J Health Sci (Qassim),2016,10(3):327~338. |
|
|
|
2019, Vol. 25 
