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| The clinical effect of laparoscopic treating malignant uterine tumor and its influence on pelvic floor function and sexual function |
| Shanxi Province Nuclear Industry 215 Hospital, Xianyang, Shanxi, 712000 |
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Abstract To explore the clinical effect of laparoscopic hysterectomy and pelvic lymph node dissection for treating uterine malignant tumor and its effect on the pelvic floor function and sexual function of patients. Methods: Dates of 97 patients with uterine malignancies in Shanxi Province Nuclear Industry 215 Hospital from January 2013 to June 2015 were retrospectively analyzed. Among them, 53 patients in laparoscopic group were treated by laparoscopic hysterectomy and pelvic lymph node dissection, and 44 patients in laparotomy group were treated by traditional laparotomy. Perioperative parameters and postoperative pelvic floor function index of patents in both groups were compared. Results: The operation time, bleeding volume, postoperative exhaust time and hospital stay time of patients in laparoscopic group were significantly lower than those of patients in laparotomy group (t=12.88, t=19.96, t=8.31, t=5.19, P<0.05). There was no significant difference in the number of lymph node dissection and the catheter indwelling time of patients between the two groups (t=1.32, t=0.88, P>0.05). The rate of surgical complications of patients in the laparoscopic group was 9.34%, which was significant lower than that of patients (25.00%) in laparotomy group (χ2=4.23, P<0.05). The incidence of stress urinary incontinence of patients (1.89%) in the laparoscopic group was significant lower than that of patients (13.64%) in laparotomy group (χ2=4.96, P<0.05). The rate of sexual satisfaction of patients (42.22%) in the laparoscopic group was significant higher than that of patients (2432%) in laparotomy group (Z=-2.299, P<0.05).Conclusion: Uterine malignant tumors treated by laparoscopic hysterectomy and pelvic lymph node dissection has advantages of less trauma, faster recovery, and has less bad influence on pelvic floor function and the quality of sexual life when compared to treated by traditional laparotomy.
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