|Table of Contents|

Effect of pelvic floor rehabilitation at different time on pelvic floor function in patients with cervical cancer after Piver Ⅲ hysterectomy

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 01
Page:
156-160
Research Field:
Publishing date:

Info

Title:
Effect of pelvic floor rehabilitation at different time on pelvic floor function in patients with cervical cancer after Piver Ⅲ hysterectomy
Author(s):
TIAN Jing1; TAN Jianyuan2
1.Department of Pelvic Floor Rehabilitation Center;2.Department of Gynaecology,the First People's Hospital of Yibin,Sichuan Yibin 644000，China.
Keywords:
pelvic floor rehabilitation; cervical cancer; Piver Ⅲ hysterectomy; urinary retention; pelvic floor dysfunction
PACS:
R737.33
DOI:
10.3969/j.issn.1672-4992.2023.01.029
Abstract:
Objective:To investigate the effect of different pelvic floor rehabilitation on postoperative urinary retention,indwelling catheter time,voiding function,pelvic floor electromyography and pelvic floor dysfunction in patients with cervical cancer after Piver Ⅲ hysterectomy.Methods:From January 2019 to June 2020,64 patients in our hospital underwent Piver Ⅲ hysterectomy+bilateral pelvic lymphadenectomy and confirmed by pathological results for cervical cancer were selected as the research objects.They were divided into observation group and control group according to random number table,30 cases in each group.The observation group started pelvic floor rehabilitation treatment 7 days after operation,and the control group started pelvic floor rehabilitation treatment 14 days after operation.The pelvic floor rehabilitation method and course of treatment of the two groups were the same.The postoperative urinary retention and the time of indwelling catheter were compared between the two groups.The free urinary flow rate,pelvic floor electrophysiological function and pelvic floor dysfunction of the two groups were observed and compared before treatment,1 month and 3 months after operation.Results:The incidence of urinary retention and the time of indwelling catheter in observation group were lower than that in control group(P＜0.05).The maximum flow rate(Qmax),average flow rate(Qave) and urine output of the observation group were higher than those of the control group at 1 month and 3 months after operation(P＜0.05).The micturition time and residual urine volume of the observation group were lower than those of the control group(P＜0.05).The muscle strength,pelvic floor dynamic pressure and muscle potential of class Ⅰ and Ⅱ muscle fibers in the observation group were higher than those in the control group(P＜0.05).The total scores of POPDI-6,CRADI-8,UDI-6 and PFDI-20 in the observation group were lower than those in the control group(P＜0.05).Conclusion:Early intervention pelvic floor rehabilitation therapy can effectively reduce the incidence of postoperative urinary retention in patients with cervical cancer undergoing Piver Ⅲ hysterectomy,shorten the indwelling time of the catheter,improve pelvic floor muscle strength and improve pelvic floor function.

References:

［1］BRAY F,FERLAY J,SOERJOMATARAM I,et al.Global cancer statistics 2018:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries［J］.CA Cancer J Clin,2018,68(6):394-424.
［2］ARBYN M,WEIDERPASS E,BRUNI L,et al.Estimates of incidence and mortality of cervical cancer in 2018:a worldwide analysis［J］.Lancet Glob Health,2020,8(2):e191-e203.
［3］刘宗超,李哲轩,张阳,等.2020全球癌症统计报告解读［J］.肿瘤综合治疗电子杂志,2020,7(1):1-13. LIU ZC,LI ZX,ZHANG Y,et al.Interpretation on the report of Global Cancer Statistics 2020［J］.Journal of Multidisciplinary Cancer Management(Electronic Version),2020,7(1):1-13.
［4］周晖,刘昀昀,林仲秋.《2017 NCCN 宫颈癌临床实践指南》解读［J］.中国实用妇科与产科杂志,2017,33(1):100-107. ZHOU H,LIU YY,LIN ZQ.Interpretation of NCCN cervical cancer clinical practice guidelines 2017［J］.Chinese Journal of Practical Gynecology and Obstetrics,2017,33(1):100-107.
［5］王世言,孙秀丽,王建六.Piver Ⅲ型子宫切除术及术后辅助治疗对子宫颈癌患者盆底功能影响的研究进展［J］.中华妇产科杂志,2020,55(10):733-736. WANG SY,SUN XL,WANG JL.Research progress of pelvic floor function in patients with cervical cancer after Piper Ⅲ hysterectomy and postoperative adjuvant therapy［J］.Chin J Obstet Gynecol,2020,55(10):733-736.
［6］中国抗癌协会妇科肿瘤专业委员会.宫颈癌诊断与治疗指南(第四版)［J］.中国实用妇科与产科杂志,2018,34(6):613-622. Gynecological Cancer Committee of China Anti Cancer Association.Guidelines for diagnosis and treatment of cervical cancer(4th Edition)［J］.Chinese Journal of Practical Gynecology and Obstetrics,2018,34(6):613-622.
［7］SIEGEL RL,MILLER KD,JEMAL A.Cancer statistics,2020［J］.CA Cancer J Clin,2020,70(1):7-30.
［8］高佩佩,彭婷,吴鹏.宫颈癌临床研究进展［J］.中国医学前沿杂志(电子版),2020,12(5):7-12. GAO PP,PENG T,WU P.Clinical research progress of cervical cancer［J］.Chinese Journal of the Frontiers of Medical Science(Electronic Version),2020,12(5):7-12.
［9］陈春林.中国宫颈癌临床诊疗与大数据［J］.中国实用妇科与产科杂志,2018,34(1):25-29. CHEN CL.Clinical diagnosis and treatment of cervical cancer and big data in China［J］.Chinese Journal of Practical Gynecology and Obstetrics,2018,34(1):25-29.
［10］GUILLEM JG,LEE-KONG SA.Autonomic nerve preservation during rectal cancer resection［J］.J Gastrointest Surq,2010,14(2):416-422.
［11］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. LYU AM,SUN XL,HUA KQ,et al.Investigation of pelvic floor function after type Ⅲ hysterectomy in patients with cervical cancer［J］.Chin J Clin Obstetrics Gynecol,2017,18(2):117-119.
［12］李晓丹,王建六.宫颈癌根治术后尿潴留的预防研究进展［J］.护理研究,2017,31(2):150-152. LI XD,WANG JL.Progress in prevention of urinary retention after radical operation of cervical cancer［J］.Chinese Nursing Research,2017,31(2):150-152.
［13］谢咏,朱瑜苑,管玉涛,等.电刺激联合生物反馈治疗广泛性全子宫切除术后排尿困难临床分析［J］.中国实用妇科与产科杂志,2019,35(11):1233-1238. XIE Y,ZHU YY,GUAN YT,et al.Clinical analysis of electrical stimulation combined with biofeedback in the treatment of dysuria after radical hysterectomy［J］.Chinese Journal of Practical Gynecology and Obstetrics,2019,35(11):1233-1238.
［14］BROSE SW，BOURBEAU DJ，GUSTAFSON KJ.Genital nerve stimulation is tolerable and effective for bladder inhibition in sensate individuals with incomplete SCI［J］.Spinal Cord Med,2017,10(2):1-8.
［15］占惠鸣,石祖妹,钱方芳,等.低频电刺激在预防宫颈癌术后尿潴留中的应用［J］.临床和实验医学杂志,2020,19(3):326-328. ZHAN HM,SHI ZM,QIAN FF,et al.Application of low frequency electrical stimulation in prevention of postoperative urinary retention in cervical cancer patients［J］.Journal of Clinical and Experimental Medicine,2020,19(3):326-328.
［16］杨丹.女性盆底功能障碍性疾病的研究进展［J］.中国计划生育和妇产科,2017,9(2):11-15,19. YANG D.Research progress of female pelvic floor dysfunction［J］.Chinese Journal of Family Planning & Gynecotokology,2017,9(2):11-15,19.
［17］苏莹,李梦竹,张菊新.盆底低频电刺激治疗联合生物反馈对宫颈癌术后盆底功能障碍的随机对照研究［J］.中国实用医刊,2017,44(11):116-118. SU Y,LI MZ,ZHANG JX.A randomized controlled study of pelvic floor low frequency electrical stimulation combined with biofeedback on pelvic floor dysfunction after cervical cancer surgery［J］.Chin J Pract Med,2017,44(11):116-118.
［18］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. WANG SY,SUN XL,ZHAO LJ,et al.Effects of low frequency electrical stimulation on proliferation and migration of human cervical cancer SiHa cells［J］.Chin J Clin Obstetrics Gynecol,2016,17(2):151-153.

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Last Update: 2022-11-30