Landi S, Mereu L, Indraccolo U, Favero R, Fiaccavento A, Zaccoletti R, Clarizia R, Barbieri F
Department of Obstetrics and Gynecology, Ospedale Sacro Cuore, Verona, Italy.
JSLS. 2009 Oct-Dec;13(4):496-503. doi: 10.4293/108680809X12589998404047.
We investigated the effects of laparoscopic excision of endometriosis with unilateral parametrectomy on bladder, rectal, and sexual function as well as patient satisfaction.
Women who underwent this procedure between February 1, 2006 and November 15, 2007 were enrolled. Patient characteristics, pre- and postoperative findings, and follow-up data were retrospectively collected from a computerized database.
Twelve patients were enrolled in the study. All of the symptoms except dysuria improved after surgery, worsening long after the operation. It seems that all parameters including sexuality, micturition, and defecation are equally important in regards to the final judgement of satisfaction, with a trend towards amelioration long after the operation.
Unilateral parametrectomy may offer successful results in terms of patient satisfaction despite some impairment in bladder, bowel, and sexual function. The risk of permanent functional impairment is high; therefore, surgeons need to maintain the integrity of the contralateral nerve pathway. This is highly important, because pain relief seems to be partially involved in the final judgement of postoperation satisfaction.
我们研究了腹腔镜下子宫内膜异位症切除联合单侧子宫骶骨韧带切除术对膀胱、直肠和性功能以及患者满意度的影响。
纳入2006年2月1日至2007年11月15日期间接受该手术的女性。从计算机数据库中回顾性收集患者特征、术前和术后检查结果以及随访数据。
12名患者纳入本研究。除排尿困难外，所有症状术后均有改善，但术后较长时间症状恶化。似乎在满意度的最终判断中，包括性功能、排尿和排便在内的所有参数同样重要，术后较长时间有改善趋势。
尽管膀胱、肠道和性功能有一定损害，但单侧子宫骶骨韧带切除术在患者满意度方面可能取得成功结果。永久性功能损害风险较高；因此，外科医生需要保持对侧神经通路的完整性。这非常重要，因为疼痛缓解似乎部分参与了术后满意度的最终判断。
