宫颈癌根治术后患者盆底功能障碍性疾病临床表现及康复策略的研究进展
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摘要
<正>宫颈癌是常见的妇科恶性肿瘤,发病率仅次于乳腺癌,好发于40～50岁,且有明显的年轻化趋势。近年来随着宫颈癌筛查手段的普及,很多宫颈癌患者得到了早期诊断和早期治疗。宫颈癌根治术是早期宫颈癌治疗的首选方法,具有良好的治疗效果~([1]),但对患者膀胱功能、盆腔脏器正常生理位置、肛门直肠功能、性功能可产生影响。研究发现,宫颈癌根治术后患者盆底功能障碍疾病发生率可达70%以上~([2]),严重影响患者生存质量,成为临床上亟需解决的问题之一。本文就宫颈癌根治
引文
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[22] 张珂,胡青,谢臻蔚.女性盆底康复的方法及技术[J].实用妇产科杂志,2017,33(7):482-485.
[23] YANG E J,LIM J Y,RAH U W.Effect of a pelvic floor muscle training program on gynecologic cancer survivors with pelvic floor dysfunction:a randomized controlled trial[J].Gynecologic Oncology,2012,125(3):705-711.
[24] 苏莹.低频电刺激联合生物反馈治疗宫颈癌术后盆底功能障碍的随机对照研究[D].郑州:郑州大学,2017.
[25] 吕爱明,孙秀丽,华克勤,等.子宫颈癌患者Ⅲ型子宫切除术后盆底功能状况调查[J].中国妇产科临床杂志,2017,18(2):117-119.
[26] 王艳华.全子宫切除手术对盆底功能的影响及盆底康复治疗现状[J].河北医药,2016,38(21):3330-3334.
[27] BAI H,MC CAIG C D,FORESTER J V,et al.DC electric fields induce distinct preangiogenic responses in microvascular and macrovascular cells[J].Arterioscler Thromb Vasc Biol,2004,24(7):1234-1239.
[28] 王世言,孙秀丽,赵丽君,等.低频电刺激对人子宫颈癌SiHa细胞增殖及迁移能力的影响[J].中国妇产科临床杂志,2016,17(2):151-153.
[29] 朱兰.中国女性盆底康复发展和方向[J].实用妇产科杂志,2017,33(7):481-482.
[2] XIA M,XUE M,TANG D H,et al.Analysis of postoperative complication of radical hysterectomy for cervical cancer cancer:a report of 300 case[J].Chinese Journal of Modern Operative Surgery,2009,11(4):242-245.
[3] PLOTTI F,ANGIOLI R,ZULLO M A,et al.Update on urodynamic bladder dysfunctions after radical hysterectomy for cervical cancer[J].Crit Rev Oncol Hematol,2011,80(7):323-329.
[4] CECCARONI M,ROVIGIGLIONE G,SPAGNOLO E,et al.Pelvic dysfunctions and quality of life after nerve-sparing radical hysterectomy:a multicenter comparative study[J].Anticancer Res,2012,32(2):581-588.
[5] HAZEWINKEL M H,SPRANGERS M A G,VANDER VELDEN J,et al.Long-term cervical cancer survivors suffer from pelvic floor symptoms:a cross-sectional matched cohort study[J].Gynecol Oncol,2010,117(2):281-286.
[6] MANCHANA T,PRASARTSAKULCHAI C,SANTINGAMKUN A.Long-term lower urinary tract dysfunction after radical hysterectomy in patients with early postoperative voiding dysfunction[J].Int Urogynecol J,2010,21(1):95-101.
[7] 康佳.经腹全子宫切除术和广泛性子宫切除术对盆底功能远期影响的研究[D].济南:山东大学,2017.
[8] 刘艳辉.宫颈癌根治术后近期及远期膀胱功能障碍发生状况与护理对策研究[D].南宁:广西医科大学,2016.
[9] KUPPERMANN M,SUMMITT JR R L,VARNER R E,et al.Sexual functioning after total compared with supracervical hysterectomy:a randomized trial[J].Obstet Gynecol,2005,105(6):1309-1318.
[10] 龙颖.保留盆腔自主神经在根治性子宫切除术中的循证医学研究与基础、临床研究[D].南宁:广西医科大学,2010.
[11] 孙秀丽,王建六.盆底康复在宫颈癌术后的应用[J].实用妇产科杂志,2017,33(7):488-489.
[12] JUAN-JUAN H U,XIA J X,WANG W Y.Related factors analysis and preventive measures of cesarean section incision infection[J].China Modern Medicine,2015,21(4):274-276.
[13] THOMAS S G,SATO H R N,GLANTZ J C,et al.Buchsbaum GM Prevalence of symptomatic pelvic floor disorders among gynecologic oncology patients[J].Obstet Gynecol,2013,122(5):976-980.
[14] 李斌,李巍,孙阳春,等.保留盆腔自主神经的广泛性子宫切除术的术式改良研究[J].中华妇产科杂志,2010,45(3):221-223.
[15] LYKKE R,BLAAKAER J,OTTESEN B,et al.Incidence of pelvic organ prolapse repair subsequent to hysterectomy:a comparison between radical hysterectomy and total abdominal hysterectomy[J].Int Urogynecol J,2016,12(6):132-135.
[16] ROONGSIRISANGRAT S,RANGKLA S,MACHANA T,et al.Rectal balloon training as an adjunctive method for pelvic floor muscle training in conservation management of stress urinary incontinence:a pilot study [J].J Med A Ssoc Thai,2015,95(4):1149-1155.
[17] GLAZER H I,HACAD C R.The glazer protocol:evidence-based medicine pelvic floor muscle(PFM) surface electromyography(SEMG)[J].Biofeedback,2012,40(6):75-79.
[18] National Collaborating Centre for Women’s and Children’s Health CUK.Urinary incont in women:the management of urinary incontinence in women [J].Rcogpress,2013,60(8):906-911.
[19] HAGEN S,STARK D.Conservative prevention and management of pelvic organ prolapse in women[J].Cochrane Database Syst Rev,2011,12(5):3882.
[20] MONGA A K,TRACEY M R,SUBBAROYAN J,et al.A systematic review of clinical studies of electrical stimulation for treatment of lower urinary tract dysfunction[J].Int Urogynecol J,2012,23(8):993-1005.
[21] 张侠,魏万红.盆底肌功能锻炼对宫颈癌根治术后患者膀胱麻痹的疗效观察[J].河南外科学杂志,2015,21(2):150-151.
[22] 张珂,胡青,谢臻蔚.女性盆底康复的方法及技术[J].实用妇产科杂志,2017,33(7):482-485.
[23] YANG E J,LIM J Y,RAH U W.Effect of a pelvic floor muscle training program on gynecologic cancer survivors with pelvic floor dysfunction:a randomized controlled trial[J].Gynecologic Oncology,2012,125(3):705-711.
[24] 苏莹.低频电刺激联合生物反馈治疗宫颈癌术后盆底功能障碍的随机对照研究[D].郑州:郑州大学,2017.
[25] 吕爱明,孙秀丽,华克勤,等.子宫颈癌患者Ⅲ型子宫切除术后盆底功能状况调查[J].中国妇产科临床杂志,2017,18(2):117-119.
[26] 王艳华.全子宫切除手术对盆底功能的影响及盆底康复治疗现状[J].河北医药,2016,38(21):3330-3334.
[27] BAI H,MC CAIG C D,FORESTER J V,et al.DC electric fields induce distinct preangiogenic responses in microvascular and macrovascular cells[J].Arterioscler Thromb Vasc Biol,2004,24(7):1234-1239.
[28] 王世言,孙秀丽,赵丽君,等.低频电刺激对人子宫颈癌SiHa细胞增殖及迁移能力的影响[J].中国妇产科临床杂志,2016,17(2):151-153.
[29] 朱兰.中国女性盆底康复发展和方向[J].实用妇产科杂志,2017,33(7):481-482.