尿道中段TVT-O术对女性压力性尿失禁患者及其性伴侣的性生活质量的影响

发布时间：2018-09-03 07:25

【摘要】：目的：本研究通过收集阴道-闭孔由内向外尿道无张力悬吊术（TVT-O）治疗女性压力性尿失禁（SUI）患者的临床资料，随访并评估患者术后的疗效、安全性、生活质量、性生活及其性伴侣性生活情况的变化。方法：对2008年至2013年在我院行TVT-O的144例压力性尿失禁患者及其性伴侣，，采用国际尿失禁咨询委员会尿失禁问卷简表、症状自评量表、国际女性性功能量表、国际男性勃起功能指数简表5项，分别对手术前后情况进行评分并行统计学分析。结果：1.TVT-O术有效率高达98.6%。术后并发症发生率均非常低。2.患者手术前后心理情况的改善有显著统计学意义（P＜0.05）。其中人际关系改善显著（P＜0.01）。 3.144例患者中有52例(36.1%)术前、术后均无性生活，剩余92例(63.9%)术前有性生活者术后未停止性生活，且性生活满意度有所提高，有统计学意义（p＜0.05）。其余指标手术前后未发现有统计学差异(P0.05)。4.92例患者性伴侣的性生活满意度在术后有提高，有统计学意义（p＜0.05）。其余指标手术前后无统计学差异（p0.05）结论：1. TVT-O术对于治疗SUI是一种安全有效的手术方式。 2. TVT-O术同时能有效改善患者因SUI所致的心理障碍，提高患者术后生活质量。 3. TVT-O术不会对患者或其性伴侣的性生活质量产生负面的影响，性生活中不自主漏尿症状的好转可能会提高双方对性生活的满意度。
[Abstract]:Objective: to collect the clinical data of female patients with stress urinary incontinence (SUI) treated by vagina-obturator tension-free suspension (TVT-O) from the inside to the outside urethra, and to evaluate the effect, safety and quality of life of the patients after operation. Changes in sexual life and sexual life of sexual partners. Methods: a total of 144 patients with stress urinary incontinence and their sexual partners who underwent TVT-O in our hospital from 2008 to 2013 were investigated by using the International urinary Incontinence Advisory Committee's urinary incontinence questionnaire, the symptom Checklist and the International female sexual function scale. Five items of international male erectile function index were evaluated before and after operation and were analyzed statistically. Results: 1. The effective rate of TVT-O operation was 98.6%. The incidence of postoperative complications was very low. The improvement of psychological state before and after operation was statistically significant (P < 0.05). Among the 3.144 patients, 52 cases (36.1%) had no sexual life before operation, and the remaining 92 cases (63.9%) had no sexual life after operation. There was statistical significance (p < 0.05). There was no significant difference before and after operation (P0.05) .4.92 patients' sexual life satisfaction increased after operation (p < 0.05). There was no statistical difference between the other indexes before and after operation (p0.05) conclusion: 1. TVT-O is a safe and effective procedure for the treatment of SUI. 2. TVT-O can also effectively improve the psychological disorders caused by SUI, and improve the quality of life of the patients after operation. TVT-O has no negative effect on the quality of sexual life of patients or their sexual partners. The improvement of involuntary urine leakage in sexual life may increase the satisfaction of both parties.
【学位授予单位】：上海交通大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699.7

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