子宫切除联合阴道延长手术对Ⅰb1～Ⅰb2期宫颈癌患者婚姻质量的影响  

Quality of marriage and sexual function of cervical cancer patients following radical hysterectomy and vaginal extension

作　　者：陈红[1] 张友忠[2] 

机构地区：[1]滨州市中心医院妇科,山东省滨州251700 [2]山东大学齐鲁医院妇产科

出　　处：《中国医师杂志》2015年第6期834-837,共4页Journal of Chinese Physician

基　　金：国家自然科学资助项目（81072122）

摘　　要：目的 探讨子宫切除联合阴道延长手术对Ⅰb1-Ⅰb2期宫颈癌患者婚姻质量、生活质量及性生活的影响.方法 选择本院住院经宫腔细胞学及宫颈活组织病理学确诊的Ⅰb1-Ⅰb2期宫颈癌患者80例为研究对象,采用随机数字表法分为观察组和对照组,每组40例,两组分别给予腹腔镜子宫切除联合阴道延长手术与单独腹腔镜子宫切除手术治疗.观察患者术中及术后差异.术后随访1年,采用OLSON婚姻质量问卷、性功能问卷（PISQ-12）评分,比较两组手术前后婚姻质量及性功能等的变化.结果 观察组患者手术时间及术后阴道长度长于对照组（P ＜0.05或P＜0.01）.术后两组患者情感、生理及总分均下降（P＜0.01）,对照组患者下降较观察组更显著（P＜0.01）.观察组婚姻满意度、夫妻交流、解决冲突方式、业余活动及性生活得分明显高于对照组（P＜0.05或P＜0.01）.结论 腹腔镜下子宫切除联合阴道延长术既能有效延长患者的阴道长度,又能有效改善患者术后的性功能及婚姻质量,此方法优于单独腹腔镜治疗方法,值得临床推广。Objective To investigate the quality of marriage and sexual function of cervical cancer patients following radical hysterectomy and vaginal extension.Methods Case-control and questionnairebased methods were used in this study.Forty patients of early-stage （Ⅰ b 1 - Ⅰ b2） cervical cancer who had undergone vaginal extension following classic radical hysterectomy were included in the observation group,while 40 patients with matching factors and radical hysterectomy only during the same period were included in the control group.The quality of marriage and sexual function were compared with OLSON marriage prolapse and incontinence sexual function questionnaire Shon Fonn （PISQ-12）.Results The operation time and postoperative vaginal length in the observation group were higher than those in the control group （P 〈 0.05 or P 〈 0.01）.The emotional,physical,and total scores during postoperation were lower than those during preoperation （P 〈 0.01）.The emotional,physical,and total scores in the control group were lower than those in the observation group （P 〈 0.01）.The marital satisfaction,husband and wife communication,conflict resolution methods,extracurricular activities and sex scores in the observation group were higher than those in the control group （P 〈 0.05 or P 〈 0.01）.Conclusions Patients with peritoneovaginoplasty following radical hysterectomy had much longer vagina and less self-perceived short vagina.Vaginal extension following radical hysterectomy does not worsen the pelvic floor symptoms.

关 键 词：子宫切除术 阴道/外科学 宫颈肿瘤/外科学 婚姻 生活质量 性行为 

分 类 号：R737.33[医药卫生—肿瘤]