广泛性切除术联合阴道延长术对宫颈癌患者性生活状况的影响

发布时间：2018-06-07 15:48

本文选题：宫颈癌 + 广泛性子宫切除术　；参考：《广东医学》2015年12期

【摘要】：目的探讨广泛性切除术(RH)联合阴道延长术对宫颈癌患者术后性生活状况的影响。方法采用病例对照的研究方法和问卷调查的方式,以妇产科收治的42例早期子宫颈癌行子宫广泛性切除联合阴道延长术患者为观察组,并选择同期仅行子宫广泛性切除术的38例早期子宫颈癌患者作为对照组。在治疗结束6个月后,采用女性性功能测量量表(FSFI)评估患者的性功能状态,并采用性生活和阴道变化(SVQ)问卷探讨患者术后性生活和阴道相关情况。结果术后观察组患者阴道明显增长[(10.0±1.2)cm vs(6.0±1.1)cm],差异有统计学意义(P0.05);两组患者排尿相关症状及排便相关症状的发生率比较差异均无统计学意义(P0.05);术后观察组患者在性欲、性唤起、阴道润滑、性高潮、性满意度、性交痛及FSFI总分比较差异均无统计学意义(P0.05)。结论早期子宫颈癌患者行子宫广泛性切除联合腹膜阴道延长术后阴道长度明显延长,且并不增加术后排尿和排便相关症状的发生风险。
[Abstract]:Objective to investigate the effect of extensive excision combined with vaginal lengthening on postoperative sexual life of patients with cervical cancer. Methods A case-control study and a questionnaire survey were carried out in 42 cases of early cervical cancer treated in gynecology and obstetrics department with extensive hysterectomy combined with vaginal lengthening as observation group. 38 patients with early cervical cancer who had only extensive hysterectomy during the same period were selected as control group. After 6 months of treatment, FSFI was used to evaluate the sexual function of the patients, and the sexual life and vagina changes were investigated with SVQ questionnaire. Results the vagina increased significantly in the observation group [10.0 卤1.2)cm vs(6.0 卤1.1)cm], the difference was statistically significant (P 0.05), there was no significant difference in the incidence of urination related symptoms and defecation-related symptoms between the two groups, and there was no significant difference between the two groups in the incidence of urination and defecation-related symptoms. There was no significant difference in vaginal lubrication, orgasm, sexual satisfaction, sexual intercourse pain and total score of FSFI. Conclusion extensive hysterectomy combined with vaginal lengthening in patients with early cervical cancer does not increase the risk of urination and defecation-related symptoms.
【作者单位】：中国人民解放军第三0三医院妇产科;
【分类号】：R737.33

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