宫颈癌根治术中行卵巢移位+阴道延长术对年轻患者术后性生活质量及存活质量的影响

张慧

（咸阳市中心医院妇科，陕西 咸阳，712000）

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摘要：

目的 分析宫颈癌根治术中行卵巢移位+阴道延长术对年轻患者术后性生活质量及存活质量的影响。方法 将90例年轻宫颈癌患者按手术方法不同分为观察组（卵巢移位+腹膜阴道延长，n=40）和对照组（宫颈癌根治术，n=50）。观察和统计两组患者的手术情况,术前、术后阴道长度及内分泌指标，性生活及存活质量。结果 与对照组相比，观察组患者的手术时间明显较长，但住院时间显著较短（P<0.05）。观察组患者术后半年的阴道长度显著长于对照组（P<0.05）。观察组患者术前、术后半年的内分泌指标水平比较，差异无统计学意义（P>0.05），而对照组患者术前、术后半年的比较，差异有统计学意义（P<0.05）。术后半年，观察组患者的FSFI 评分及SF-36 量表中的生理功能、生理职能、活力、精神健康、躯体疼痛、总体健康评分均显著高于对照组（P<0.05）。结论 宫颈癌根治术中行卵巢移位+阴道延长术不仅不会影响手术效果，而且可延长阴道，改善卵巢内分泌功能，从而有助于改善年轻患者术后性生活质量及存活质量。

关键词：宫颈癌；卵巢移位；阴道延长；性生活质量

中图分类号：R737.33 文献标志码：A文章编号：2096-1413(2017)28-0006-03

Effect of ovarian transposition and vaginal lengthening in radical hysterectomy on the quality of sexual life and quality of life of young patients after operation
ZHANG Hui
（Department of Gynaecology, Xianyang Central Hospital, Xianyang 712000, China）

ABSTRACT: Objective To analyze the effect of ovarian transposition and vaginal lengthening in radical hysterectomy on the quality of sexual life and quality of life of young patients after operation. Methods A total of 90 cases of patients with cervical cancer were divided into observation group (ovarian transposition and peritoneum vagina lengthening, n=40) and control group (radical mastectomy, n=50) according to different operation methods. The operation situation, vaginal length and endocrine indexes, quality of sexual life and quality of life of the two groups were evaluated. Results Compared with the control group, the operation time of the observation group was significantly longer, but the hospitalization time was significantly shorter (P<0.05). The vaginal length of observation group was significantly longer than that of the control group at 6 months after operation (P<0.05). There was no significant difference in the levels of endocrine indexes in the observation groups before and 6 months after the operation (P>0.05), while there were statistically significant differences in the control group (P<0.05). Six months after operation, the scores of Female Sexual Function Index (FSFI) and the physiological functions, physiological functions, vitality, mental health, physical pain, and overall health scores of SF-36 scales in the observation group were significantly higher than those in the control group (P<0.05). Conclusion Ovarian transposition and vaginal lengthening not only will not affect the outcome of radical operation for cervical cancer, but also can lengthen the vagina, improve ovarian endocrine function, the quality of sexual life and the quality of life after operation of young patients.

KEYWORDS: cervical cancer; ovarian transposition; vaginal lengthening; quality of sexual life

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