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[1]陳賢璟 蔡良知 林超琴 杜開洪.絕經(jīng)期宮頸癌患者術(shù)后近期尿動力學(xué)分析[J].福建醫(yī)藥雜志,2018,40(06):6-8.
　CHEN Xianjing,CAI Liangzhi,LIN Chaoqin,et al.Recent postoperative urodynamic analysis in menopausal patients with cervical carcinoma[J].FUJIAN MEDICAL JOURNAL,2018,40(06):6-8.
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絕經(jīng)期宮頸癌患者術(shù)后近期尿動力學(xué)分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
40
期數(shù):
2018年06期
頁碼:
6-8
欄目:
臨床研究
出版日期:
2018-11-29

文章信息/Info

Title:
Recent postoperative urodynamic analysis in menopausal patients with cervical carcinoma
文章編號:
1002-2600(2018)06-0006-04
作者:
陳賢璟 蔡良知 林超琴 杜開洪
福建省婦幼保健院婦科(福州 350001)
Author(s):
CHEN Xianjing;  CAI Liangzhi;  LIN Chaoqin;  DU Kaihong.
Department of Gynecology,Fujian Provincial Maternity and Children's Hospital,Fuzhou, Fujian 350001, China
關(guān)鍵詞:
宮頸腫瘤;  子宮切除術(shù);  絕經(jīng);  尿動力學(xué)
Keywords:
cervical carcinoma;  hysterectomy;  menopause;  urodynamics
分類號:
R737.33
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 分析絕經(jīng)期宮頸癌患者術(shù)后近期下尿路功能的變化特點,探討該類患者術(shù)后近期尿動力學(xué)檢查的意義。方法 對因?qū)m頸癌Ⅰb1～Ⅱa期收住院的93例患者,進(jìn)行根治術(shù)前及術(shù)后近期尿動力學(xué)檢查,比較絕經(jīng)期與非絕經(jīng)期宮頸癌患者術(shù)后近期下尿路功能變化的差異。結(jié)果 絕經(jīng)組術(shù)后膀胱感覺缺失以及逼尿肌受損的發(fā)生率均明顯高于非絕經(jīng)組(P<0.05)。術(shù)后絕經(jīng)組最大尿流率時逼尿肌壓力明顯低于非絕經(jīng)組(P<0.05),術(shù)后初感容量、殘余尿量均明顯高于非絕經(jīng)組(P<0.05)。結(jié)論 絕經(jīng)期宮頸癌患者下尿路功能的代償能力相對弱,術(shù)后近期下尿路功能改變明顯,易發(fā)生下尿路功能障礙。對絕經(jīng)期宮頸癌患者進(jìn)行根治術(shù)后近期尿動力學(xué)分析,有助于指導(dǎo)該類患者下尿路功能障礙的診治。
Abstract:
Objective To analyze the features of recent postoperative changes of urinary tract function in menopausal patients with cervical carcinoma, and to explore the significance of recent postoperative urodynamic examination in these patients. Methods Ninety-three patients with Ⅰb1～Ⅱa stage cervical carcinoma suffering radical hysterectomy in our hospital were conducted preoperative and postoperative urodynamics examination, in order to compare the differences of lower urinary tract function in the recent postoperative period between the menopausal patients and the non-menopausal patients. Results The incidences of sensory deficiency and detrusor injury were significantly higher in menopausal group than those in non-menopausal group after operation(P<0.05). The pressure at the maximum flow rate in menopausal group was significantly lower than that in non-menopausal group(P<0.05). The initial sensory capacity and residual urine volume in menopausal group were significantly higher than those in non-menopausal group(P<0.05). Conclusion The compensation ability of lower urinary tract function is relatively weak in menopausal patients with cervical carcinoma. The recent postoperative function changes of the lower urinary tract are obvious, and the lower urinary tract dysfunction is easy to occur in these patients. The recent postoperative urodynamic analysis is helpful to guide the diagnosis and treatment of lower urinary dysfunction in the menopausal patients with cervical carcinoma.

參考文獻(xiàn)/References:

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相似文獻(xiàn)/References:

[1]郭慈仁 林 潔 石懷景 陳桂林 江信燕.嗜神經(jīng)侵襲與宮頸癌根治術(shù)后遠(yuǎn)處轉(zhuǎn)移的關(guān)系[J].福建醫(yī)藥雜志,2019,41(06):16.
　GUO Ciren,LIN Jie,SHI Huaijing,et al.Relationship between perineural invasion and distant metastasis of cervical cancer after radical operation[J].FUJIAN MEDICAL JOURNAL,2019,41(06):16.

備注/Memo

備注/Memo:
基金項目:福建省自然科學(xué)基金資助項目(2015J01367); 福建省醫(yī)學(xué)創(chuàng)新課題(2011-CXB-18)
更新日期/Last Update: 2018-11-29