卵巢移位联合腹膜阴道延长对卵巢癌患者免疫功能及性生活质量的影响

发布时间：2018-03-02 19:33

本文选题：卵巢移位　切入点：腹膜阴道延长　出处：《中国性科学》2016年11期 　论文类型：期刊论文

【摘要】：目的:探讨卵巢移位联合腹膜阴道延长对卵巢癌患者免疫功能及性生活质量的影响。方法:选择2012年4月至2014年12月本院收治的宫颈癌患者80例,按照随机数字法分为两组,各40例,对照组实施常规宫颈癌根治术,观察组在对照组基础上行卵巢移位及腹膜阴道延长。随访12个月。统计两组术后6个月女性性功能质量,干预前后两组免疫球蛋白变化情况,术后6个月时患者阴道长度、开始性生活时间及治疗期间发生并发症情况。结果:观察组性欲望、性兴奋、性高潮、疼痛、阴道潮湿和性满意度6项得分均高于对照组(P0.05),观察组性功能质量评分显著高于对照组(P0.05);干预后两组IgM、Ig G和Ig A水平低于干预前(P0.05),干预后观察组IgM、Ig G和Ig A水平低于干预后对照组(P0.05);观察组术后阴道长度长于对照组(P0.05),开始性生活时间早于对照组(P0.05);观察组发生术后尿潴留、卵巢功能减退、术后阴道狭窄及骨质疏松整体比例低于对照组(P0.05)。结论:卵巢移位联合腹膜阴道延长能有效提高卵巢癌根治术患者术后性生活质量,提高患者机体免疫功能,减少术后因临床功能不全或丧失导致的并发症。
[Abstract]:Objective: to investigate the effect of ovarian transposition combined with peritoneal vaginal lengthening on immune function and sexual life quality in patients with ovarian cancer. Methods: 80 patients with cervical cancer admitted from April 2012 to December 2014 were divided into two groups according to random number method. 40 cases in each group were treated with routine radical cervical cancer operation, and the observation group were treated with ovarian transposition and peritoneal vagina lengthening on the basis of the control group, and were followed up for 12 months. The female sexual function quality was counted at 6 months after operation in the two groups. The changes of immunoglobulin in the two groups before and after intervention, the length of vagina, the onset of sexual life and the complications occurred during the treatment at 6 months after intervention. Results: sexual desire, sexual excitement, orgasm and pain were observed in the observation group. The scores of vaginal humidity and sexual satisfaction were higher than those of control group (P 0.05), the scores of sexual function quality in observation group were significantly higher than those in control group (P 0.05), the levels of IgMN Ig G and IgA in two groups were lower than those before intervention, and the levels of IgMN Ig G and IgA in observation group were low after intervention. The length of vagina in the observation group was longer than that in the control group, and the onset of sexual life was earlier than that in the control group. The overall ratio of ovarian dysfunction, postoperative vaginal stenosis and osteoporosis was lower than that of the control group (P0.050.Conclusion: ovarian transposition combined with vaginal lengthening of peritoneum can effectively improve the quality of sexual life and the immune function of the patients after radical operation of ovarian cancer. Reduce postoperative complications due to clinical insufficiency or loss.
【作者单位】：解放军第323医院肿瘤科;解放军第323医院妇产科;第四军医大学基础部;
【分类号】：R737.31

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