子宮全切術(shù)后尿失禁及性功能障礙的臨床分析.pdf

1、新疆醫(yī)科大學碩士學位論文子宮全切術(shù)后尿失禁及性功能障礙的臨床分析姓名：布海切木·卡德爾申請學位級別：碩士專業(yè)：婦產(chǎn)科學指導(dǎo)教師：古麗娜2010-04新疆醫(yī)科大學醫(yī)學碩士學位論文 新疆醫(yī)科大學醫(yī)學碩士學位論文 2The clinical analyze on incontinence and female sexual dysfunction after total hysterectomy Postgraduate: bu

2、haiqiemu.kadeer Supervisor: associate prof Gulina Abstract Objective：To study the clinical analyze on the occurrence of incontinence and female sexual dysfunction after total hysterectomy.Methods ：A hospital based l:1

3、 matched case 一 contrust study was carried out .376 Patients after the total hysterectomy remedied at the frist affliated hospital of xin jinag medical university from january 2006 to january 2009 were enrolled as a ca

4、se group ,and 376patients without total hysterectomy were selected remedied in the jiujiawan for inspection.the patients were interviewed medical record and questionnaire survey. The contrast group were interviewed quest

5、ionnaire survey . Chi 一 square test and logistic regression were used for univariate and multivariate analysis to study the clinical analyze of after the total hysterectomy on the occurrence of incontinence and female s

6、exual dysfunction .to survey the relativity of incontinence and female sexual dysfunction .Results： in the case group the incidence rate of incontinence 44.9.% （169/376）, female sexual dysfunction 45.5%(171/376).in the

7、contrast group the incidence rate of incontinence 34.3% （129/376） , female sexual dysfunction 25.8% （97/376） . Chi一 square test and logistic regression were used to conclude that （1）the total hysterectomy is the risk ele

8、ment of incontinence and female sexual dysfunction.(2)the incontinence after total hysterectomy related to （P1）the surgery range ,the magnitude of uterus, the bleeding during the operation.(3)the female sexual disfunctio

9、n after the total hysterectomy is related to the surgery range ,the magnitude of uterus, the bleeding during the operation.（P1）.(4)the incontinence after the total hysterectomy is related to the female sexual dysfunctio

10、n（P<0.05）.Conclusions：1.during the total hysterectomy the more operation range , magnitude of uterus and the bleeding during the operation ,the more incidence rate of incontinence. 2.during the total hysterectomy the

11、more operation range , magnitude of uterus and the bleeding during the operation ,the more incidence rate of female sexual dysfunction.3. the incontinence after the total hysterectomy is related to the female sexual dysf