不同手术路径全子宫切除术后尿失禁的研究进展
Research Progress on Postoperative Urinary Incontinence after Total Hysterectomy with Different Surgical Pathways
DOI: 10.12677/ACM.2023.13102317, PDF,   
作者: 康 平:新疆医科大学研究生院,新疆 乌鲁木齐;米合日尼沙·买买提*:新疆维吾尔自治区人民医院妇科,新疆 乌鲁木齐
关键词: 全子宫切除术达芬奇机器人腹腔镜压力性尿失禁Total Hysterectomy Leonardo’s Robot Celioscope Stress Urinary Incontinence
摘要: 子宫切除术是一种临床常用的治疗妇科疾病的手术方式。它不仅用于许多良性疾病,如平滑肌瘤和异常子宫出血。此外,对于妇科肿瘤及子宫脱垂等疾病,都建议对患者采取子宫切除术治疗。近年来随着手术技术及器械的进步,手术途径由传统开腹全子宫切除术逐渐发展为损伤更小的腹腔镜或经阴道途径。随着达芬奇手术机器人的问世,机器人辅助的腹腔镜手术亦成为一种选择。本文现就达芬奇机器人、腹腔镜和经阴道三种手术方式下行子宫切除对患者术后尿失禁的影响进行分析。
Abstract: Hysterectomy is a commonly used surgical method for the treatment of gynecological diseases. It is not only used for many benign diseases such as leiomyoma and abnormal uterine bleeding. In addi-tion, hysterectomy is recommended for patients with gynecological tumors and diseases such as uterine prolapse. In recent years, with the advancement of surgical technology and instruments, the surgical route has gradually developed from the traditional open total hysterectomy to the less in-vasive laparoscopic or transvaginal route. With the advent of Leonardo’s surgical robot, ro-bot-assisted laparoscopic surgery has also become an option. In this article, the effects of hysterec-tomy on urinary incontinence of Leonardo’s robot, laparoscopic and transvaginal surgery are ana-lyzed.
文章引用:康平, 米合日尼沙·买买提. 不同手术路径全子宫切除术后尿失禁的研究进展[J]. 临床医学进展, 2023, 13(10): 16557-16563. https://doi.org/10.12677/ACM.2023.13102317

参考文献

[1] Lee, S.H., Oh, S.R., Cho, Y.J., et al. (2019) Comparison of Vaginal Hysterectomy and Laparoscopic Hysterectomy: A Systematic Review and Meta-Analysis. BMC Women’s Health, 19, Article No. 83. [Google Scholar] [CrossRef] [PubMed]
[2] 李慧敏. 腹腔镜下子宫切除术与阴式子宫切除术对盆底功能障碍性疾病发生情况的影响[J]. 实用妇科内分泌电子杂志, 2023, 10(1): 14-16.
[3] 王运霞, 张鑫鑫, 李晨阳. 全子宫切除术后患者发生盆底功能障碍性疾病的影响因素分析[J]. 临床医学, 2023, 43(5): 26-29.
[4] Aleixo, G.F., Fonseca, M., Bortolini, M., et al. (2019) Pelvic Floor Symptoms 5 to 14 Years after Total versus Subtotal Hysterectomy for Benign Conditions: A Systematic Review and Meta-Analysis. International Urogynecology Journal, 30, 181-191. [Google Scholar] [CrossRef] [PubMed]
[5] 刘玉嵚, 李永川, 艾小庆, 等. 生物反馈电刺激联合盆底肌训练治疗全子宫切除术后压力性尿失禁患者的临床研究[J]. 中国医师杂志, 2019, 21(1): 95-98.
[6] 宋奇翔, 廖利民. 中华医学会压力性尿失禁指南(2019版)要点解读[J]. 实用妇产科杂志, 2022, 38(6): 419-421.
[7] 申沛, 朱前勇, 王武亮. 广泛性子宫切除术后下泌尿功能障碍的病因研究进展[J]. 妇产与遗传(电子版), 2013, 3(4): 45-47.
[8] 安方, 汪莎, 王志启, 等. 子宫颈癌根治性子宫切除术后下尿路症状及相关因素分析[J]. 中国妇产科临床杂志, 2021, 22(4): 398-401.
[9] 蒋芳, 向阳. 腹腔镜在妇科肿瘤手术中的应用进展[J]. 实用妇产科杂志, 2022, 38(3): 165-168.
[10] Aarts, J.W.M., et al. (2023) Surgical Approach to Hysterectomy for Benign Gynaecological Disease. The Cochrane Database of Systematic Reviews, 8, CD3677.
[11] 田宇航, 朱晓明. 达芬奇机器人辅助下巨大子宫切除的研究进展[J]. 机器人外科学杂志(中英文), 2021, 2(2): 128-132.
[12] 欧阳熙坪, 李津津, 龚雪, 等. 达芬奇机器人手术系统行妇科手术606例临床分析[J]. 机器人外科学杂志(中英文), 2020, 1(2): 102-107.
[13] 吴婵, 周怀君, 李荣. 美国妇产科学会和妇科外科医师协会关于妇科机器人手术的委员会意见的解读[J]. 中国妇产科临床杂志, 2016, 17(6): 563-564.
[14] 赵影, 彭存旭. 达芬奇机器人手术系统在妇科疾病手术中的应用研究进展[J]. 济宁医学院学报, 2020, 43(4): 281-284.
[15] Matanes, E., et al. (2020) Robotic Laparoendoscopic Single-Site Compared with Robotic Multi-Port Sacrocolpopexy for Apical Compartment Prolapse. American Journal of Obstetrics and Gynecology, 222, 351-358. [Google Scholar] [CrossRef] [PubMed]
[16] Wei, G., Harley, F., O’Callaghan, M., et al. (2023) Systematic Re-view of Urological Injury during Caesarean Section and Hysterectomy. International Urogynecology Journal, 34, 371-389. [Google Scholar] [CrossRef] [PubMed]
[17] Morelli, L., et al. (2016) Robot-Assisted Surgery for the Radical Treatment of Deep Infiltrating Endometriosis with Colorectal Involvement: Short- and Mid-Term Surgical and Functional Outcomes. International Journal of Colorectal Disease, 31, 643-652. [Google Scholar] [CrossRef] [PubMed]
[18] Novackova, M., Pastor, Z., Chmel, R., et al. (2020) Urinary Tract Morbidity after Nerve-Sparing Radical Hysterectomy in Women with Cervical Cancer. International Urogynecology Journal, 31, 981-987. [Google Scholar] [CrossRef] [PubMed]
[19] Silasi, D.A., et al. (2013) Robotic versus Abdominal Hysterec-tomy for Very Large Uteri. JSLS: Journal of the Society of Laparoendoscopic Surgeons, 17, 400-406. [Google Scholar] [CrossRef
[20] 段华. 中国妇科内镜诊疗技术从弱到强并跑国际之路[J]. 中国计划生育和妇产科, 2019, 11(10): 3-6.
[21] 郑民华, 马君俊. 腹腔镜手术技术平台的现状与发展趋势[J]. 外科理论与实践, 2020, 25(3): 181-183.
[22] Langebrekke, A. and Qvigstad, E. (2009) Total Laparoscopic Hys-terectomy with Single-Port Access without Vaginal Surgery. Journal of Minimally Invasive Gynecology, 16, 609-611. [Google Scholar] [CrossRef] [PubMed]
[23] 孔悦, 邓家荣, 孙小淳, 等. 机器人单孔腹腔镜在妇科中的应用现状及发展[J]. 现代妇产科进展, 2021, 30(2): 146-149.
[24] 熊光武. 妇科单孔腹腔镜手术器械选择[J]. 中国实用妇科与产科杂志, 2019, 35(12): 1324-1326.
[25] Yang, Y.S. (2020) Robotic Natural Orifice Transluminal Endo-scopic Surgery (NOTES) Hysterectomy as a Scarless and Gasless Surgery. Surgical Endoscopy, 34, 492-500. [Google Scholar] [CrossRef] [PubMed]
[26] 吕小慧, 郭欣, 李佳, 等. 机器人单孔腹腔镜在妇科手术中的初步应用探讨[J]. 中华腔镜外科杂志(电子版), 2019, 12(3): 154-158.
[27] 高京海, 金志军, 李俊平, 等. 机器人辅助经脐单孔腹腔镜治疗子宫颈浸润癌12例临床分析[J]. 实用妇产科杂志, 2019, 35(10): 797-800.
[28] Huang, L., He, Y. and Gong, Y. (2022) The Long-Term Urinary Dysfunction after Type C2 Radical Hysterectomy in Patients with Cervical Cancer. Journal of Obstetrics and Gynaecology, 42, 514-517. [Google Scholar] [CrossRef] [PubMed]
[29] 赵珂. 腔镜筋膜内全子宫切除术、经腹全子宫切除术及阴式全子宫切除术的疗效比较[J]. 中外医学研究, 2019, 17(18): 147-149.
[30] 王静, 方丽莎, 徐杨. 腹腔镜下全子宫切除联合高位宫骶韧带悬吊术治疗子宫脱垂的疗效分析[J]. 实用妇科内分泌电子杂志, 2022, 9(2): 24-28.
[31] 莫新宇, 唐昀, 刘莉, 等. 全子宫切除术的不同手术途径对盆底功能及性功能的影响[J]. 中西医结合心血管病电子杂志, 2021, 9(1): 184-186.
[32] 王晓萍, 王明波, 张丽娟, 等. 经腹和腹腔镜全子宫切除术对患者盆底功能的影响分析[J]. 中国实用医药, 2021, 16(14): 57-59.
[33] 鲍二臣, 施卓钰, 于楠. 腹腔镜与腹式全子宫切除术两术式对女性盆底功能近期的影响分析[J]. 中国保健营养, 2017, 27(27): 66.
[34] Praiss, A.M., et al. (2022) Long-Term Outcomes of Vaginal Hysterectomy for Endometrial Cancer. Gynecologic Oncology, 164, 105-112. [Google Scholar] [CrossRef] [PubMed]
[35] 杜玲悦, 张琳, 聂小毳. 全子宫切除术手术途径的发展现状[J]. 国际妇产科学杂志, 2019, 46(3): 346-350.
[36] Kim, H.B., et al. (2010) Comparison of Clinical Effects between Total Vaginal Hysterectomy and Total Laparoscopic Hysterectomy on Large Uteruses over 300 Grams. The Journal of Obstetrics and Gynaecology Research, 36, 656-660. [Google Scholar] [CrossRef] [PubMed]
[37] Tulokas, S., et al. (2022) Stress Urinary Incontinence after Hysterectomy: A 10-Year National Follow-Up Study. Archives of Gynecology and Obstetrics, 305, 1089-1097. [Google Scholar] [CrossRef] [PubMed]
[38] 李爽, 周洪友, 杨惠芬. 腹腔镜辅助下经阴道子宫切除术与传统子宫切除术治疗子宫脱垂的疗效和预后比较[J]. 中国妇幼保健, 2021, 36(20): 4861-4863.
[39] 于莉莉. 低频电刺激联合盆底肌康复训练对宫腔镜下全子宫切除术后压力性尿失禁患者的康复效果[J]. 反射疗法与康复医学, 2022, 3(14): 70-73.
[40] 曹为英, 赵树娟. 子宫脱垂患者行阴式子宫切除术联合阴道前后壁修补术后合并新发性压力性尿失禁的影响因素[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(1): 63-66.