Analysis of risk factors for postoperative pelvic floor dysfunction in patients with total hysterectomy
Objective To analyze the risk factors of postoperative pelvic floor dysfunction in patients with total hysterectomy.Methods From November 1,2018 to October 31,2020,80 patients who underwent total hysterectomy were selected as the research objects.The age,body mass index(BMI),course of disease,primary disease,coagulation indexes[activated partial thromboplastin time(APTT),prothrombin time(PT),D-dimer(DD)],operation mode,uterine size,delivery mode,delivery times,operation time,postoperative pelvic floor function related knowledge,postoperative pelvic floor function exercise under the guidance of doctors and postoperative pelvic floor function exercise compliance were counted.Multivariate Logistic regression analysis was used to analyze the risk factors of postoperative pelvic floor dysfunction in patients with total hysterectomy.Results Among the 80 patients,10 cases(12.50％)had pelvic floor dysfunction,which was included in occurrence group;70 cases(87.50％)had no pelvic floor dysfunction,which was included in non-occurrence group.The age,BMI and the proportion of delivery times ≥2 of the occurrence group were significantly higher than those of the non-occurrence group,and the proportion of mastering postoperative pelvic floor function related knowledge,the postoperative pelvic floor function exercise under the guidance of doctors and the postoperative pelvic floor function exercise compliance were significantly lower than those of the non-occurrence group(P＜0.05).Multivariate Logistic regression analysis results showed that BMI,age and delivery times were risk factors for postoperative pelvic floor dysfunction in patients undergoing total hysterectomy(P＜0.05).Conclusion BMI,age and delivery times are the risk factors affecting the occurrence of postoperative pelvic floor dysfunction in patients with total hysterectomy.Clinical attention should be paid to these patients,and effective interventions should be formulated in time to prevent pelvic floor dysfunction.
total hysterectomypelvic floor dysfunctionrisk factor
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