宫颈癌病人广泛性全子宫切除联合阴道延长术后性生活状况研究

冯佳; 朱彦玲; 张红; 王新霞; 许敏; 张萍

doi:10.13898/j.cnki.issn.1000-2200.2019.05.012

宫颈癌病人广泛性全子宫切除联合阴道延长术后性生活状况研究

Effect of the radical hystcrectomy combined with vagina lengthening on sexual life in patients with cervical cancer

摘要

摘要:
目的研究宫颈癌病人行广泛性全子宫切除联合阴道延长术后的性功能状况。
方法选取80例Ⅰb1期及新辅助治疗后的Ⅰb2~Ⅱa2期宫颈癌病人，随机分为对照组和观察组，各40例。观察组40例行广泛性全子宫切除联合阴道延长术+腹膜后淋巴结清扫术；对照组常规行广泛性全子宫切除+腹膜后淋巴结清扫术。手术6个月后对所有病人进行阴道变化和性生活相关情况的问卷调查。并使用女性性功能测量量表来评估病人的性功能状态。
结果2组病人在术后恢复规律性生活的例数、恢复规律性生活所用时间比较差异均无统计学意义（P>0.05），观察组术后阴道长度明显优于对照组（P < 0.01）。2组病人在排尿和排便相关指标差异均无统计学意义（P>0.05）。2组病人在性唤起、性高潮、性交疼痛、阴道润滑、性满意度、女性性功能指数总分以及性欲等方面比较差异无统计学意义（P>0.05）。
结论宫颈癌病人行广泛性全子宫切除联合腹膜代阴道延长术后，病人的阴道延长明显，且不会增加排便和排尿障碍方面的风险，但是在性生活质量方面还没有显著提高。

Abstract:
ObjectiveTo analyze the effects of radical hystcrectomy combined with vagina lengthening on sexual life in patients with cervical cancer.
MethodsEighty cervical cancer patients with type Ⅰb1 and type Ⅰb2~Ⅱa2 after neoadjuvant therapy were randomly divided into the control group and observation group(40 cases each group).The observation group was treated with radical hysterectomy combined with vaginal lengthening and retroperitoneal lymph node dissection, and the control group was treated with radical hysterectomy combined with retroperitoneal lymph node dissection.After 6 months of treatment, the vaginal change and sexual life in all patients were investigated using questionnaire, and the sexual function in two groups were evaluated using female sexual function measurement scale.
ResultsThe differences of the number of cases and time of recovering regular sexual life between two groups were not statistically significant(P>0.05), the postoperative vaginal length in observation group was significantly better than that in control group(P < 0.01).The differences of the urination and defecation indicators between two groups were not statistically significant(P>0.05).The differences of the sexual arousal, orgasm, pain during intercourse, vaginal lubrication, sexual satisfaction, total score of female sexual function index and sexual desire between two groups were not statistically significant(P>0.05).
ConclusionsThe radical hysterectomy combined with vagina lengthening in the treatment of cervical cancer can significantly prolong the vagina length, does not increase the risk of defecation and urination dysfunction, and significantly improves the quality of sexual life of patients.

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