膀胱阴道瘘术后女性性功能的调查分析  

Investigation and analysis of female sexual function after operation of vesicovaginal fistula

作　　者：丁一郎 周辉良[1] 曹林升[2] 杨鹏[1] 陈强[1] 黄海林 唐松喜 Ding Yilang;Zhou Huiliang;Cao Linsheng;Yang Peng;Chen Qiang;Huang Hailing;Tang Songxi(Department of Andrology,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;Department of Urology,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院男科,福州350005 [2]福建医科大学附属第一医院泌尿外科,福州350005

出　　处：《国际泌尿系统杂志》2021年第6期1048-1051,共4页International Journal of Urology and Nephrology

摘　　要：目的本研究通过调查膀胱阴道瘘(VVF)患者术后女性的性功能情况,分析其影响因素,提高术后性生活质量。方法通过电话联系、书信形式或门诊随访,采用女性性功能指数(FSFI)调查患者术前及术后至少6个月后的性功能状况,分析术后性功能与手术途径及次数的关系。按手术方式分为经阴道途径组及经腹部途径组;并按手术次数分成三组:单次修复成功组、两次修复成功组及多次修复成功组。结果51例患者术后FSFI评分表总分(19.58±4.35)分,较术前评分(13.35±9.62)分明显提高,差异有统计学意义(P<0.05)。两组在性欲望、性活动时阴道润滑、性生活满意度方面比较,差异有统计学意义(P<0.05)。而主观性唤起、性高潮、性交痛方面比较,差异无统计学意义(P>0.05)。经阴道组与经腹腔组患者的FSFI评分表总分比较,差异无统计学意义(P>0.05)。单次修复组、两次修复组、多次修复组患者的术后FSFI评分表总分比较,差异无统计学意义(P>0.05)。结论VVF患者性功能障碍病情严重,瘘修补成功可改善患者的性功能,手术径路及次数与术后性功能可能并无相关性。Objective To investigate the postoperative sexual function of patients with vesicovaginal fistula and analyze its influencing factors so as to improve the quality of postoperative sexual life.Methods Through telephone contact,letter form or outpatient follow-up,the female sexual function index(FSFI)was used to investigate the sexual function of the patients before and at least six months after operation,and the relationship between postoperative sexual function and the route and frequency of operation was analyzed.According to the mode of operation,the patients were divided into transvaginal approach group and transabdominal approach group,and were divided into three groups according to the number of operations:single successful repair group,twice successful repair group and multiple successful repair group.Results The postoperative FSFI score score of 51 patients was(19.58±4.35)points,which was significantly higher than the preoperative score of(13.35±9.62)points,and the difference was statistically significant(P<0.05).There were statistically significant differences in sexual desire,vaginal lubrication during sexual activity and satisfaction with sexual life between the two groups(P<0.05).There was no significant difference in subjective arousal,orgasm and pain during intercourse(P>0.05).There was no significant difference in FSFI scores between the transvaginal group and the transabdominal group(P>0.05).There was no statistically significant difference in the total scores of postoperative FSFI in the single repair group,the twice repair group and the multiple repair group(P>0.05).Conclusions The sexual dysfunction of patients with vesicovaginal fistula is serious.Successful repair of vesicovaginal fistula can improve the sexual function of the patients.There may be no correlation between the route and times of operation and postoperative sexual function.

关 键 词：膀胱阴道瘘 女(雌)性 性功能 

分 类 号：R699.7[医药卫生—泌尿科学]