The Clinical Dynamic Study Of Complications After Radical Hysterectomy

Subject:Observed due to cervical and endometrial carcinoma radical hysterectomy (Radical Hysterectomy, RH) patients, the incidence of various types and follow-up time point related complications.Method:Prospective study in144, Nanfang Hospital of South Medical university, patients, due to a wide range of gynecologic malignancies hysterectomy (Radical Hysterectomy, RH) after recording its perioperative injury former case, and preoperative and postoperative1month,3months,6months,1year,2years,3years, four years, five years all kinds of bladder dysfunction, anorectal dysfunction, sexual dysfunction and, With or without postoperative radiotherapy group, radiotherapy group of57cases,87cases of non-radiation group, to assess the impact of radiotherapy of complications,Than we record data for each follow-up to Epidata3.1dual input data file to build the library, exported to SPSS13.0statistical analysis of the results of the line.Result:109of144patients were followed up at the end point, with a total follow-up of6163person-months.(1)The mean time for indwelling catheter was29.2±31.8days. Uroschesis occurred in85patients (Bladder urine residue>100ml).(2)The incidence of bladder dysfunction at1months,3months and6months after surgery were81.9%,74.7%and59.2%, which were significantly higher than that of preoperation. While the incidence at1and2years had no statistical difference compared with preoperation. Abdominal pressure micturition existed5years or longer after surgery.(3) Rectum dysfunction showed as sensation of incomplete evacuation, change of bowel movement, and constipation. The total incidence at1month after surgery was55.4%, which was significantly higher than that of preoperation. There was no statistical difference between3month,6month,1years, and2years after surgery and preoperation.(4)The ratio of sexual life was significantly lower than preoperation, and recovered1year after surgery. Sexual dysfunction was manifested as the injury of parasympathetic nerve, including Sexual arousal disorder, dyspareunia, colposerosis and decreased vaginal elasticity.Conclusion:Pelvic autonomic nerve injury is the main performance of complications of RH, especially the pelvic organ dysfunction caused by parasympathetic nerve injury.1,.Bladder dysfunction is more severe clinical symptoms, the incidence trend was first increased and then decreased symptoms varied within postoperation one year, and its incidence was significantly higher than before surgery, Performance1year after surgery to urinate as the main clinical manifestations of abdominal and persists, other symptoms of abdominal voiding under compensatory disappear.2. Anorectal dysfunction major clinical manifestations of dry stool, the trend is to reduce the incidence was increased and then, at six months after surgery, anorectal dysfunction can be gradually restored.3. The high incidence of sexual dysfunction and persistence it.4. Radiation therapy for postoperative complications affect RH:Radiotherapy for sexual dysfunction is more obvious, but the bladder function, and anorectal function is not affecting as obvious.