子宫全切和次全切对压力性尿失禁及性功能的影响

发布时间：2019-03-13 17:47

【摘要】：目的：探讨子宫全切及次全切术后对患者压力性尿失禁和性功能的影响情况。方法： 1、选择2008年6月至2009年6月间因子宫良性疾病在南昌大学第二附属医院行保留双侧卵巢的全子宫切除术或次全子宫切除术病人。 2、按照统一的排除标准和纳入标准选择病例261例：全子宫切除146例；次全子宫切除115例。 3、对被调查妇女采用统一的调查问卷进行电话随访，回访例数196例，回访率75.1%：其中全子宫切除术组回访例数为109，回访率74.7%；次全子宫切除术组回访例数87例，回访率75.7%。 4、采用SPSS20.0统计软件对数据进行统计分析。P0.05有统计学意义，P0.01有显著的统计学意义。结果： 1、196例研究对象中，术后发生压力性尿失禁28例，其中TH组发生压力性尿失禁23例，发生率21.1%，SH组发生压力性尿失禁5例，发生率5.7%，两组间压力性尿失禁发生率有显著的统计学差异(X2=9.315，P0.01)。 2、在被纳入的196例研究对象中，TH组109例，，SH组87例。TH组术后在性欲、性唤起、阴道润滑、性高潮、性满意度及性交痛等各方面评分均较术前明显降低，差异有统计学意义（P0.05）；SH组术后在性欲、性唤起、性高潮及性满意度等方面评分较术前明显降低，差异有统计学意义（P0.05），而阴道润滑及性交痛两项评分SH术前与术后无明显差异（P0.05），但评价总分SH术后较SH术前明显降低，差异有统计学意义（P0.05）：TH术后在性欲、性唤起、阴道润滑、性高潮、性满意度及性交痛等方面评分较SH术后明显降低，差异有统计学意义（P0.05）。结论： 1、TH术后压力性尿失禁发生率较SH术后高。 2、TH与SH术后性功能均较术前降低，且TH术后性功能较SH术后性功能降低更明显；
[Abstract]:Objective: to investigate the effect of total hysterectomy and subtotal hysterectomy on stress urinary incontinence and sexual function. Methods: 1. Total hysterectomy or subtotal hysterectomy with bilateral ovaries was performed in the second affiliated Hospital of Nanchang University from June 2008 to June 2009. 2. 261 cases were selected according to the uniform exclusion criteria and inclusion criteria: total hysterectomy in 146 cases, subtotal hysterectomy in 115 cases, total hysterectomy in 146 cases and subtotal hysterectomy in 115 cases. 3. The women surveyed were followed up by telephone with a unified questionnaire. 196 cases were followed up by telephone. The rate of return visit was 75.1%. In the total hysterectomy group, 109 cases were followed up and 74.7% of the women were followed up by telephone. The rate of follow-up was 74.7% in the total hysterectomy group. In the total hysterectomy group, 87 cases were followed up, the follow-up rate was 75.7%. 4, using SPSS20.0 statistical software for statistical analysis. P0.05 has statistical significance, P0.01 has significant statistical significance. Results: among the 1196 subjects, 28 cases had stress urinary incontinence after operation, of which 23 cases had stress urinary incontinence in TH group (21.1%), 5 cases had stress urinary incontinence in SH group (5.7%), and 23 cases had stress urinary incontinence in SH group (21.1%). There was a significant difference in the incidence of stress urinary incontinence between the two groups (X2, 9.315, P0.01). In th group, the scores of sexual desire, sexual arousal, vaginal lubrication, orgasm, sexual satisfaction and sexual intercourse pain were significantly lower than those before operation in TH group (109 cases) and SH group (87 cases), and in th group, the scores of sexual desire, sexual arousal, vaginal lubrication, orgasm, sexual satisfaction and sexual intercourse pain were significantly lower than those before operation. The difference was statistically significant (P0.05); The scores of sexual desire, sexual arousal, orgasm and sexual satisfaction in SH group after operation were significantly lower than those before operation (P0.05), but there was no significant difference in vaginal lubrication and sexual intercourse pain between pre-SH and post-operation (P0.05), but there was no significant difference in the scores of vaginal lubrication and sexual intercourse pain between pre-and post-operation (P0.05). But the total score after SH was significantly lower than that before SH (P0.05) after): TH, the scores of sexual desire, sexual arousal, vaginal lubrication, orgasm, sexual satisfaction and sexual intercourse pain were significantly lower than those after SH. The difference was statistically significant (P0.05). Conclusion: 1. The incidence of stress urinary incontinence after th is higher than that after SH. (2) the sexual function of th and SH was lower than that of pre-operation, and the sexual function of TH was lower than that of SH.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.59

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