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Effect of Laparoscopic Hysterectomy on Pelvic Floor Function and Immune Function in Patients with Uterine Diseases |
SHI Yu, REN Li, GUO Yun-hong |
Department of Obstetrics and Gynecology, Zhongxin Central Hospital, Luoyang, Henan 471033 |
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Abstract 【Objective】To investigate the effect of laparoscopic hysterectomy on pelvic floor function and immune function in patients with uterine diseases. 【Methods】A total of 80 patients who underwent hysterectomy in Zhongxin Central Hospital from June 2016 to October 2018 were selected and divided into the observation group and the control group (with 40 cases in each group) according to the treatment method. The observation group was treated with laparoscopic hysterectomy, while the control group was treated with open hysterectomy. The changes of PFIQ-7, PFDI-20, T lymphocyte subsets, immunoglobulin and complement levels were compared between the two groups before and after operation. 【Results】The scores of PFDI-20 and PFIQ-7 at 6 and 12 months after operation in the two groups were higher than those before operation and (P<0.05), while the scores of PFDI-20 and PFIQ-7 at 12 months after operation were higher than those at 6 months after operation (P<0.05). PFDI-20 and PFIQ-7 scores of the observation group were lower than those of the control group (P<0.05). The IgG level in the two groups decreased, while the level of IgG in the observation group were significantly higher than that in the control group (P<0.05). The levels of C4 and C3 in the observation group were higher than those in the control group (P<0.05). Level of CD4+, CD3+, CD8+ and CD4+/CD8+ in the control group were significantly lower than those in the observation group; The differences were statistically significant (P<0.05). 【Conclusion】Laparoscopic hysterectomy can improve the immune function of patients, and has little effect on the pelvic floor function.
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Received: 25 June 2021
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[1] 邓花娟,尚莹莹. 改良经脐单孔腹腔镜治疗子宫肌瘤的临床疗效[J].医学临床研究,2021,38(2):256-258. [2] 周春艳, 杨铧琦, 卢白玉. 经腹腔镜子宫/阴道骶骨固定术与改良式全盆底功能重建术对盆腔脏器脱垂的临床效果[J].临床与病理杂志, 2019,38(5):983-989. [3] 丁晓芳, 周海燕. 2种全子宫切除术对子宫肌瘤患者性功能和卵巢功能的影响对比[J].实用癌症杂志, 2019,34(7):1124-1127. [4] 刘琼英, 黎秋容. 快速康复外科干预模式对腹腔镜子宫全切术患者应激反应及康复效果的影响[J].医学临床研究, 2018, 35(9):1817-1818. [5] 甘晓玲, 蔡留云, 刘帅斌. 盆底超声评价在妊娠妇女盆底结构、功能以及预后上的价值[J].基因组学与应用生物学, 2019,37(7):3258-3262. [6] 梅慧红, 邵晓华. 产后盆底功能障碍患者应对方式及影响因素调查[J].中华现代护理杂志, 2019, 25(5):569-572. [7] 周萍, 罗小婉, 何一雄. 电刺激生物反馈对盆底功能障碍患者的效果评估[J].中国妇幼健康研究, 2019,29(5):646-649. [8] 佛新艳, 李萍, 秦娜. 经阴道子宫切除联合阴道前后壁修补术对盆腔器官脱垂患者生活质量及盆底功能的影响[J].临床和实验医学杂志, 2019,17(16):433-434. [9] 丁海涛, 帕尔哈提?阿布都热衣木, 韩智君,等. 结直肠癌NOSE术对患者氧化应激、免疫功能及机体微炎症的影响[J].中国现代手术学杂志, 2017, 21(1):9-13. [10] 赵海燕, 苏乌云, 呼群. DC-CIK联合化疗治疗晚期非小细胞肺癌的疗效及对免疫功能的影响[J].现代生物医学进展, 2017, 17(13):2560-2564. [11] 梁雪早, 沈平虎, 徐丽珍. "阴腹联合"腹腔镜阴道骶骨固定术治疗Ⅳ度盆腔器官脱垂的中期疗效[J].中华妇产科杂志, 2019, 54(3):160-161. [12] 丘媚妮, 饶煌珍. 盆底康复辅助治疗性沟通干预对全子宫切除术患者生活质量的影响[J].陕西医学杂志, 2017, 46(2):167-168. [13] 许利, 黄萍, 赵锦,等. 改良式全腹腔镜下大子宫切除术临床效果分析[J].中国计划生育学杂志, 2019,28(8):36-38. |
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