术前性功能正常盆腔器官脱垂患者术后性功能障碍的影响因素  

Influencing factors of postoperative sexual dysfunction in patients with pelvic organ prolapse with normal preoperative female sexual function

作　　者：殷华立 黄爱华[1] 王飞[1] YIN Huali;HUANG Aihua;WANG Fei(Department of Obstetrics and Gynecology,Taizhou People’s Hospital,Jiangsu Province,Taizhou 225300,China)

机构地区：[1]江苏省泰州市人民医院妇产科,江苏泰州225300

出　　处：《中国医药导报》2022年第18期55-58,共4页China Medical Herald

基　　金：江苏省高等学校自然科学研究面上项目(18KJB 320002)。

摘　　要：目的研究术前性功能正常盆腔器官脱垂(POP)术后女性性功能障碍(FSD)的影响因素。方法回顾分析江苏省泰州市人民医院2019年12月至2020年12月139例接受过POP术且术前性功能正常患者的临床资料,术后6个月根据女性性功能量表(FSFI)将患者分为FSD组(FSFI<26.55分,43例)和无FSD组(FSFI≥26.55分,96例)。收集两组基础资料,明确分析POP术后FSD风险的危险因素。结果FSD组年龄>40岁、肥胖、初中及以下学历、月收入水平<6000元、分娩次数≥3次、绝经、盆底Ⅰ类肌纤维肌力≤3级、盆底Ⅱ类肌纤维肌力≤3级患者占比高于无FSD组,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,年龄>40岁(OR=1.123)、肥胖(OR=1.131)、初中及以下学历(OR=1.245)、月收入水平<6000元(OR=1.316)、分娩次数≥3次(OR=1.219)、绝经(OR=2.894)、盆底Ⅰ类肌纤维肌力≤3级(OR=1.654)、盆底Ⅱ类肌纤维肌力≤3级(OR=1.231)是导致患者POP术后出现FSD的影响因素(P<0.05)。结论女性POP术后出现FSD的影响因素较多,应予以关注。Objective To investigate the influencing factors of postoperative female sexual dysfunction(FSD)with pelvic organ prolapse(POP)with normal preoperative sexual function.Methods The clinical data of 139 patients who underwent POP surgery and had normal preoperative sexual function from December 2019 to December 2020 in Taizhou People’s Hospital were retrospectively analyzed.Six months after the operation,according to the female sexual function inventory(FSFI),the patients were divided into FSD group(FSFI<26.55 points,43 cases)and no FSD group(FSFI≥26.55 points,96 cases).Basic data of two groups were collected,and the risk factors of FSD after POP were clearly analyzed.Results The proportion of patients age>40 years,obesity,junior high school education or below,monthly income level<6000 yuan,delivery times≥three times,menopause,pelvic floor typeⅠmuscle fiber muscle strength≤grade three,pelvic floor typeⅡmuscle fiber muscle strength≤grade three patients in the FSD group were higher than those in the non-FSD group,and the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that age>40 years(OR=1.123),obesity(OR=1.131),junior high school education(OR=1.245),monthly income level<6000 yuan(OR=1.316),delivery times≥three times(OR=1.219),menopause(OR=2.894),pelvic floor typeⅠmuscle fiber muscle strength≤grade three(OR=1.654),pelvic floor typeⅡmuscle fiber muscle strength≤grade three(OR=1.231)were influencing factors for FSD after POP surgery(P<0.05).Conclusion There are many influencing factors of FSD after POP surgery in women,which should be paid attention to.

关 键 词：盆底肌肉 临床特征 盆腔器官脱垂术 女性性功能障碍 影响因素 

分 类 号：R71[医药卫生—妇产科学]