目的 分析老年子宫脱垂患者术后新发压力性尿失禁(denovoSUI)情况及其影响因素。方法 回顾性分析泗县人民医院2020年10月～2023年5月期间因子宫脱垂行手术治疗的60例患者，调查患者术后de novo SUI发生情况，将患者分为无de novo SUI组及de novo SUI组，通过单因素及多因素logistic回归分析影响患者术后de novo SUI发生的相关因素。结果 60例行手术治疗的子宫脱垂患者，18例患者术后发生de novo SUI，发病率为30。00％。单因素分析结果显示，体质量指数(BMI)、高血压史、巨大儿分娩史、糖尿病史、便秘史、盆腔手术史、雌激素治疗史是影响老年子宫脱垂患者术后de novo SUI的相关因素(x2=5。701、4。775、6。782、4。113、3。951、5。644、9。966，P＜0。05)。多因素logistic分析结果显示，高血压史、巨大儿分娩史、糖尿病史、便秘史、盆腔手术史为老年子宫脱垂患者术后de novo SUI的独立危险因素(P＜0。05)。结论 老年子宫脱垂患者术后存在一定的de novo SUI发生风险，高血压史、巨大儿分娩史、糖尿病史、便秘史、盆腔手术史为老年子宫脱垂患者术后de novo SUI的独立危险因素。
Status of de novo stress urinary incontinence in elderly patients with uterine prolapse after surgery and its influencing factors
Objective To analyze the status of de novo stress urinary incontinence(de novo SUI)in elderly patients with uterine prolapse after surgery and its influencing factors.Methods The clinical data of 60 patients who underwent surgical treatment for uterine prolapse in the hospital from October 2020 to May 2023 were analyzed retrospectively.Among the patients included,According to the presence or absence of postoperative de novo SUI,the patients were divided into the non-de novo SUI group and the de novo SUI group.Univariate analysis and multivariate logistic regression analysis were conducted to identify the factors affecting the occurrence of postoperative de novo SUI.Results In this study,18 patients developed de novo SUI after surgery,with an incidence of 30.00％.Univariate analysis found that BMI,hypertension history,history of delivering macrosomia,diabetes history,constipation history,history of pelvic surgery,and history of estrogen treatment were factors affecting the occurrence of de novo SUI in elderly patients with uterine prolapse after surgery(x2=5.701,4.775,6.782,4.113,3.951,5.644,9.966,P＜0.05).Multivariate logistic analysis found that hypertension history,history of delivering macrosomia,diabetes history,constipation history and history of pelvic surgery(OR=2.489,95％CI=1.141～5.431,P=0.022)were independent risk factors for postoperative de novo SUI in elderly patients with uterine prolapse(P＜0.05).Conclusion There is a certain risk of de novo SUI in elderly patients with uterine prolapse after surgery.Hypertension history,history of delivering macrosomia,diabetes history,constipation history and history of pelvic surgery are independent risk factors for de novo SUI in elderly patients with uterine prolapse after surgery.
Uterine prolapseElderlyDe novo stress urinary incontinenceTotal vaginal hysterectomyVaginal anterior and posterior wall repair
万方数据
维普
