宮頸癌患者行廣泛性切除術聯合陰道延長術的術后性生活狀況研究

姜艷萍 殷旭光 萬淑瓊 王楚平

【摘要】目的：通過實驗研究，了解對宮頸癌患者使用廣泛性切除術聯合陰道延長術治療后，患者性生活的質量。 方法：收集我院2013年5月至2014年2月到我院婦科接受診治，且經專科醫師確診為早期宮頸癌患者，擇日實施子宮廣泛性切除術聯合陰道延長術患者30例作為研討對象。使用統計學隨機分組的方法，將30名研究對象隨機分成實驗組和對照組。實踐組實施廣泛性切除術聯合陰道延長術，對照組實施廣泛性切除術進行對比治療。所有研究對象在治療完成后6個月使用性功能檢測表對30名患者的性功能狀態進行評價，并通過問卷調查的方式了解30例患者的治療后性生活質量和陰道情況。結果：經過試驗研究發現，實驗組陰道平均增長（9.2±1.3）cm，對照組陰道平均增長（6.2±1.5）cm，差異無統計學意義（P>0.05）；同時兩組患者術后性功能狀態和性生活狀況和陰道情況差異無統計學意義（P>0.05）。結論：對患有宮頸癌的使用廣泛性切除術聯合陰道延長術治療后會增長患者陰道長度，并不會引起排尿困難等癥狀，但對患者性功能有一定的影響，值得臨床進一步研究。

【關鍵詞】宮頸癌；廣泛性切除術；陰道延長術；性生活狀況

Sex life condition of cervical cancer patients after extensive resection combined vaginal lengthening procedureJIANG Yanping， YIN Xuguang， WAN Shuqiong， WANG Chuping. Department of Obstetrics and Gynecology， Huangshi Central Hospital， Huangshi435000， Hubei， China

【Abstract】Objectives： To study the sex life condition of cervical cancer patients after extensive resection combined vaginal lengthening procedure. Methods： 30 early cervical cancer patients diagnosed by specialists and received extensive resection combined vaginal lengthening procedure in our hospital from May 2013 to February 2014 were selected as research objects. Using the statistics random grouping method， the 30 subjects were randomly divided into practice group and control group. The practice group received extensive resection combined vaginal lengthening procedure while the control group only received extensive resection. The sexual function of patients was evaluated six months after the treatment by sexual function detection table and their sexual life quality was surveyed with questionnaires. Results： The average vaginal growth in practice group and control group was （9.2±1.3） cm and （6.2±1.5） cm， without statistically significant difference （P> 0.05）. Meanwhile， the difference in postoperative sexual function status and sex live and vaginal situation was not statistically significant （P> 0.05）. Conclusion： The use of extensive resection combined vaginal lengthening procedure on cervical cancer patients will increase the vaginal length， and not cause symptoms such as dysuria， but it may affect the patients sexual function， which needs further clinical study.

【Key words】Cervical cancer； Extensive resection； Vaginal lengthening procedure； Sex life quality

【中圖分類號】R737.33【文獻標志碼】A

隨著我國經濟的不斷發展，人們生活水平的不斷提高，我國患有宮頸癌患者的數量也是逐年增長，現如今宮頸癌已經成為我國的發病率較高的癌癥。經過查閱資料得知，宮頸癌在45～50歲婦女中發病率較高，但是我國研究人員發現近年來宮頸癌患者的平均年齡呈現逐年降低的趨勢[1]。宮頸癌是……