卵巢移位联合腹膜阴道延长对卵巢癌患者免疫功能及性生活质量的影响  

Effect of peritoneal ovarian transposition combined vaginal extension on immune function and sexual quality of ovarian cancer patients

作　　者：吴发伟[1] 王小特[2] 冯蕾[3] 

机构地区：[1]解放军第323医院肿瘤科,西安710054 [2]解放军第323医院妇产科,西安710054 [3]第四军医大学基础部,西安710054

出　　处：《中国性科学》2016年第11期48-51,共4页Chinese Journal of Human Sexuality

摘　　要：目的:探讨卵巢移位联合腹膜阴道延长对卵巢癌患者免疫功能及性生活质量的影响。方法:选择2012年4月至2014年12月本院收治的宫颈癌患者80例,按照随机数字法分为两组,各40例,对照组实施常规宫颈癌根治术,观察组在对照组基础上行卵巢移位及腹膜阴道延长。随访12个月。统计两组术后6个月女性性功能质量,干预前后两组免疫球蛋白变化情况,术后6个月时患者阴道长度、开始性生活时间及治疗期间发生并发症情况。结果:观察组性欲望、性兴奋、性高潮、疼痛、阴道潮湿和性满意度6项得分均高于对照组(P<0.05),观察组性功能质量评分显著高于对照组(P<0.05);干预后两组IgM、Ig G和Ig A水平低于干预前(P<0.05),干预后观察组IgM、Ig G和Ig A水平低于干预后对照组(P<0.05);观察组术后阴道长度长于对照组(P<0.05),开始性生活时间早于对照组(P<0.05);观察组发生术后尿潴留、卵巢功能减退、术后阴道狭窄及骨质疏松整体比例低于对照组(P<0.05)。结论:卵巢移位联合腹膜阴道延长能有效提高卵巢癌根治术患者术后性生活质量,提高患者机体免疫功能,减少术后因临床功能不全或丧失导致的并发症。Objectives： To investigate effect of peritoneal ovarian transposition combined vaginal extension on immune function and sexual quality of ovarian cancer patients. Methods： 80 cervical cancer patients in our hospital from April 2012 to December 2014 were selected. They were randomly divided into two groups,with 40 patients in each group. Control group received conventional radical hysterectomy. On the basis of conventional radical hysterectomy,observation group received peritoneal ovarian transposition combined vaginal extension. 12 months follow-up was done. Quality of female sexual function and immunoglobulin changes of two groups 6 months after the operation were analyzed. Occurrence of complications,vaginal length and sexual life time during and after treatment were analyzed. Results： Sexual desire,sexual arousal,orgasm,pain,vaginal moisture and sexual satisfaction scores of observation group were higher than these of control group（ P〈0. 05）. The sexual function scores of observation group were significantly higher（ P〈0. 05）. IgM,IgG and IgA levels of two groups after the intervention were lower than these before the intervention（ P〈0. 05）. After intervention,IgM,IgG and IgA levels of observation group were lower than these of control group（ P〈0. 05）. Postoperative vaginal length of observation group was longer than that of control group（ P〈0. 05）. Observation group started sex life earlier than control group（ P〈0. 05）.The incidence of postoperative urinary retention,ovarian dysfunction,postoperative vaginal stenosis and osteoporosis of observation group were lower than these of control group（ P〈0. 05）. Conclusion： Peritoneal ovarian transposition combined vaginal extension can effectively improve the sex life quality of patients with ovarian cancer after radical surgery,improve patients＇ immune function and reduce postoperative clinical complications.

关 键 词：卵巢移位 腹膜阴道延长 卵巢癌 免疫功能 性生活质量 

分 类 号：R711[医药卫生—妇产科学]