Sukgen Gökmen, Türkay Ünal
Private Practice Clinics, Sukgen Gynecology and Obstetrics Clinic, Adana, Turkey.
Department of Gynecology and Obstetrics, Derince Training and Research Hospital, University of Health Sciences, Derince, Kocaeli, Turkey.
Gynecol Minim Invasive Ther. 2020 May 9;9(3):113-117. doi: 10.4103/GMIT.GMIT_43_19. eCollection 2020 Jul-Sep.
The aim of this study is to compare the urinary tract dysfunction rates of total abdominal hysterectomy (TAH) and total laparoscopic hysterectomy.
Turkish patients who underwent TAH and laparoscopic hysterectomy were invited to participate in this study. In this study, 140 patients were examined who underwent hysterectomy in gynecology clinic between 2013 and 2018. The post residual urine volumes of patients were measured in the preoperative period and 8 week of the postoperative period as urodynamic evaluation (with office cystometry and Q tip test). Statistical analysis was performed using Kruskal-Wallis Mann-Whitney U test by using SPSS 22.0 statistical program.
No statistical significance ( > 0.05) was found between age, parity, menopause, and obesity in our patients who underwent TAH and laparoscopic hysterectomy with high postvoid residual values in the postoperative period.
In this study, no statistical significance was found between the hysterectomy techniques on urinary tract dysfunction. It can be said that laparoscopy should be more preferable in correctly selected patients for minimal dysfunctional complications.
本研究旨在比较全腹子宫切除术（TAH）和全腹腔镜子宫切除术的尿路功能障碍发生率。
邀请接受TAH和腹腔镜子宫切除术的土耳其患者参与本研究。本研究检查了2013年至2018年期间在妇科诊所接受子宫切除术的140例患者。在术前和术后8周测量患者的残余尿量作为尿动力学评估（采用门诊膀胱测压和Q尖端试验）。使用SPSS 22.0统计程序，采用Kruskal-Wallis Mann-Whitney U检验进行统计分析。
在术后残余尿量较高的接受TAH和腹腔镜子宫切除术的患者中，年龄、产次、绝经和肥胖之间未发现统计学意义（>0.05）。
在本研究中，子宫切除技术在尿路功能障碍方面未发现统计学意义。可以说，对于正确选择的患者，腹腔镜手术对于最小化功能障碍并发症应更可取。
