腹膜阴道延长术在宫颈癌患者中的疗效评估  

Evaluation of vaginal lengthening of peritoneum in patients with cervical cancer

作　　者：李芬[1] 戚婷婷[1] 铁丽萍 沈谷群[1] LI Fen;QI Tingting;TIE liping;SHEN Guqun(Department of The Third Gynecology,The Affiliated Tumor Hospital,Xinjiang Medical University,Urumqi,830011,China)

机构地区：[1]新疆医科大学附属肿瘤医院妇外三科

出　　处：《新疆医学》2019年第5期436-439,共4页Xinjiang Medical Journal

基　　金：新疆维吾尔自治区科技人才培养项目——自治区青年科技创新人才培养工程（项目编号：QN2016YX0352）

摘　　要：目的评估腹膜阴道延长术在宫颈癌患者中的疗效。方法选取新疆医科大学附属肿瘤医院2016年1月1日-2017年12月30日在新疆肿瘤医院妇科ⅠB~ⅡA期宫颈癌患者60例,随机分为对照组(行广泛子宫切除术+盆腔淋巴结清扫术)30例和研究组(行广泛子宫切除术+腹膜阴道延长术+盆腔淋巴结清扫术)30例,并对其术后进行随访(1~3)年,评估疗效。结果(1)对照组与研究组在手术出血量、手术时间、肛门排气时间、肛门排便时间,留置尿管时间、住院时间及术后并发症(发热、尿路感染、膀胱阴道瘘、下肢静脉血栓、淋巴囊肿、肠梗阻)比较,P>0.05,差异无统计学意义。(2)两组在术前阴道长度比较,术前P>0.05,差异无统计学意义,术后6月及术后12月比较,P<0.05,差异均具有统计学意义;对于有正常性生活的IB期患者,研究组与对照组术后6月及术后12月比较,P>0.05,差异无统计学意义,而IIA期患者,研究组与对照组术后6月及术后12月比较,P<0.05,差异具有统计学意义;对于IB期和IIA期研究组患者中,有性生活的与无性生活的术后6月及术后12月比较,P<0.05,差异具有统计学意义。(3)两组在性生活质量上相比较,在性欲、性唤起、性润滑方面P>0.05,差异无统计学意义,在性高潮、性满意度、性交痛方面P<0.05,差异具有统计学意义。结论(1)ⅠB1~ⅡA期宫颈癌患者行腹膜阴道延长术在不增加手术风险及并发症的同时可延长阴道长度,提高性生活质量,且对于IIA期患者而言疗效更佳;(2)对于行广泛性子宫切除术术后患者应鼓励其行正常性生活。Objective To evaluate vaginal lengthening treatment of peritoneum in patients with cervical cancer.Methods Sixty patients with cervical cancer during stageⅠB toⅡA admitted in gynecology department of Xinjiang tumor hospital from January 1,2016 to December 30,2017 were selected and randomly divided them into two groups,with 30 cases in each group.The control group were treated with an extensive hysterectomy and pelvic lymph nodes dissection.The study group were treated with an extensive hysterectomy combined with vaginal lengthening of peritoneum and pelvic lymph nodes dissection.All cases were followed up for 1 to 3 years,then the efficacy were evaluated.Results(1)The amount of blood loss,operation time,anal exhausting time,anal defecation time,indwelling catheter time,hospitalization time and postoperative complications(fever,urinary tract infection,bladder and vagina fistula,lower limb venous thrombosis,lymphocyst,and intestinal obstruction)were compared between the control group and the research group.(2)The preoperative vaginal length between the two groups was compared,and the preoperative showed no statistical significance(P>0.05),while the postoperative follow-up after 6 months and 12 months showed there was statistically significant difference(P<0.05).For stage IB patients with normal sexual life,the difference between the study group and the control group at 6 months and 12 months after surgery was not statistically significant(P>0.05),while for stage IIA patients,the difference between the study group and the control group at 6 months and 12 months after surgery was statistically significant(P<0.05).For the IB and IIA study groups,the difference between sexual and asexual patients was statistically significant at 6 months and 12 months after surgery(P<0.05).(3)Compared with the two groups in terms of the quality of sexual life,there were no statistically significant differences in the aspects of sexual desire,arousal,and sexual lubrication(P>0.05),while there were statistically significant differenc

关 键 词：宫颈癌 腹膜阴道延长术 阴道长度 性生活质量 

分 类 号：R71[医药卫生—妇产科学] R73[医药卫生—临床医学]