局解手术学杂志2017，Vol.26Issue(4)：290-294,5.DOI:10.11659/jjssx.02E017075
盆腔器官脱垂患者盆底重建手术后新发压力性尿失禁相关影响因素分析
Analysis of related factors of de novo stress urinary incontinence after pelvic floor reconstruction for patients with pelvic organ prolapse
摘要
Abstract
Objective To investigate the related factors of de novo stress urinary incontinence after pelvic floor reconstruction.Methods Retrospectively analyzed the clinical data of 714 patients who acceptted pelvic reconstruction surgery in our hospital from November 30,2005 to November 30,2015.Among the 714 cases,there were 544 cases without preoperative urinary incontinence.The possible related factors of de novo SUI caused by operation were statistically analyzed.Results There were 151 cases of de novo stress urinary incontinence after pelvic floor reconstruction,the incidence was about 30.5%.With a history of diabetes,fetal delivery,pelvic surgery and POP surgery(laparoscopic vaginal apical fixation of sacrum) were the risk factors for de novo stress urinary incontinence after pelvic floor reconstruction,and the OR values were 2.575,5.286,1.671 and 1 respectively.There was no correlation between other general data and POP stage(P<0.05).Conclusion When performing pelvic floor reconstruction surgery for POP patients with high risk factors,it's better to have urinary incontinence surgery simultaneously according to individual circumstances and wishes.关键词
新发压力性尿失禁/盆底器官脱垂/经腹腔镜阴道顶端骶骨固定术/女性尿道疾病Key words
de novo stress urinary incontinence/pelvic organ prolapse/laparoscopic vaginal apical fixation of sacrum/femal urethral diseases分类
医药卫生引用本文复制引用
方露雪,曹莉莉,赵娜,徐惠成..盆腔器官脱垂患者盆底重建手术后新发压力性尿失禁相关影响因素分析[J].局解手术学杂志,2017,26(4):290-294,5.基金项目
国家自然科学基金(81471443) （81471443）
