The Clinical Analyze On Pelvic Floor Disfunction After Total Hysterectomy

Objective: To study the clinical analyze on the occurrence of pelvic floor disfunction after total hysterectomy.Methods:A hospital based l:1 matched casec-on trust study was carried out 278 Patients after the total hysterectomy remedied at t he frist affliated hospital of xin jiang medical university from Month 2013 to December 2013 were enrolled as a case group,and 278 patients without total hysterectomy were selected remedied in the the frist affliated hospital of xin jiang me dical university on Gynecology Department operator from Month 2013 to December 2013 for inspection.All the patients were interviewed medical record?questionnairesurvey and Specialized examination.Chi-square test? were used for analysis to study the clinical analyze of after the total hysterectomy on the occurrence of pelvic organ prolapse?stress urinary incontinence and constipation.According to Logistic regression analysis?Chisquare test,Results: in the case group the incidence rate of pelvic organ prolapsed 37.9%(92/243),stress urinary incontinence 28.8%(70/243),consitipation 30.9%(80/243)in the contrast group the incidence rate of pelvic organ prolapsed24.9%(62/249),stress urinary incontinence18.5%(46/249),consitipation 6.0%(15/249).Conclusions: 1.Preoperative uterine size,birth times, and age are risk factors for postoperative pelvic floor disfunction.2.The larger t he uterus,the more times it produces,the greater the age,the more obvious the dysfunction of pelvic organs after operation.3.the incidence of urinary incontinen ce and constipation increased after total hysterectomy.4 intraoperative careful oper ation to avoid damage of surrounding organs,health education after surgery,pelvic muscle exercises as early.