女性压力性尿失禁尿道中段无张力悬吊术后性生活质量研究

发布时间：2018-05-10 16:28

  本文选题：压力性尿失禁 + 尿道中段无张力悬吊术　； 参考：《北京协和医学院》2017年硕士论文

【摘要】：目的:探讨尿道中段悬吊术对压力性尿失禁患者性生活质量的影响。方法:应用国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)及盆腔器官脱垂/尿失禁患者性功能问卷简表(PISQ-12)对手术后3个月至28个月(平均随访时间为15.8±7.2个月)有活跃性生活的64例接受尿道中段悬吊术的患者进行评分,按照病程长短、术后随访时间、患压力性尿失禁时年龄及盆腔手术史进行分组,比较手术前后PISQ-12总分及各因素评分的变化,评分越高,提示性生活质量越高。结果:最终64名患者完成全部问卷,ICI-Q-SF评分较前明显下降,差异有统计学意义,手术前PISQ-12总评分为30.61±6.15分,术后PISQ-12总评分为32.89±5.15分,两者相比较有统计学意义(t=-4.28,p=0.00)。其中情感因素评分和伴侣因素评分无统计学意义,术前生理因素评分15.66±4.00分,术后生理因素评分17.91±2.99分,有统计学意义(t=-5.62,p=0.00)。各个分组情况:短期随访组和长期随访组患者术后PISQ-12总分和生理因素评分较术前升高且均有统计学意义;短病程的患者术后PISQ-12总评分及生理因素评分较术前具有显著统计学意义,长病程组患者术后PISQ-12评分升高无统计学意义;患压力性尿失禁时年龄≤55岁的患者PISQ-12总分及生理因素评分较术前升高有统计学意义,年龄大于55岁患者术后PISQ-12总分较术前增加,但无统计学意义(P=0.66);术后发生不良事件的9例患者手术后各项总分均无明显改善。结论:尿道中段悬吊术在改善患者尿控的同时也可改善患者性功能,术后短期性功能未见下降,术后长期性功能较术前明显改善,病程越长、患尿失禁年龄越大,手术对性功能的改善作用越小,术后尿控不佳者其性功能改善不明显,术后出现不良事件的患者其性功能的恢复有一定的限制。
[Abstract]:Objective: to investigate the effect of urethral suspension on the sexual life quality of patients with stress urinary incontinence. Methods: ICI-Q-SF and PISQ-12 were used to evaluate the efficacy of ICI-Q-SF and PISQ-12 for 3 to 28 months after surgery (mean follow-up time was 15.8 卤7.2 months) in patients with urinary incontinence (ICI-Q-SF) and pelvic organ prolapse / urinary incontinence (PISQ-12). The score of 64 patients undergoing urethral suspension was evaluated. According to the duration of the disease, the follow-up time after operation, the age of patients with stress urinary incontinence and the history of pelvic surgery, the changes of total PISQ-12 score and various factors before and after operation were compared. The higher the score, the higher the quality of sexual life. Results: the ICI-Q-SF score of 64 patients was significantly lower than that of the former. The total score of PISQ-12 before operation was 30.61 卤6.15, and the total score of PISQ-12 after operation was 32.89 卤5.15. There was significant difference between the two groups. The scores of emotional factors and partner factors were not statistically significant. The scores of physiological factors were 15.66 卤4.00 before operation and 17.91 卤2.99 after operation. The scores of PISQ-12 and physiological factors in short-term follow-up group and long-term follow-up group were significantly higher than those before operation. The total PISQ-12 score and physiological factor score of the patients with short course of disease were significantly higher than those of the patients with long course of disease, but there was no significant difference between the patients with long course of disease and the patients with long course of disease. The total score of PISQ-12 and the score of physiological factors in patients with stress urinary incontinence 鈮，

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