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目的探讨保留自主神经功能的子宫广泛切除(NSRH)及盆腔淋巴结清扫术后对宫颈癌患者性功能的影响。方法随机选取吉林省肿瘤医院2011年12月至2013年12月间行NSRH及盆腔淋巴结清扫术的患者50例,为NSRH组;行传统广泛性子宫切除术(RH)及盆腔淋巴结清扫术的患者50例,为RH组。使用女性性功能量表(FSFI)评定两组患者术前、术后性功能状况。分析患者行NSRH及盆腔淋巴结清扫术后对性功能的影响。结果 NSRH组患者术前与术后性冲动、性交感官敏锐度、性交顺畅度、性交满意度和性功能评分的差异无统计学意义(P>0.05)。而RH组术前与术后性冲动、性交感官敏锐度、性交顺畅度、性交满意度和性功能评分的差异均有统计学意义(均P<0.05)。术后NSRH组与RH组患者性冲动和性交满意度评分的差异均无统计学意义(均P>0.05);术后NSRH组患者性交感官敏锐度、性交顺畅度和性功能评分均高于RH组(均P<0.05)。结论 NSRH及盆腔淋巴结清扫术对女性性功能无显著影响。
Abstract：Objective To investigate the effects of nerve-sparing radical hysterectomy( NSRH)and pelvic lymph node dissection on female sexual function. Methods Totally 50 patients who have been operated by NSRH in Tumor Hospital of Jilin Province between December 2011 and December 2013 were selected to NSRH group. And 50 patients who have been operated by the traditional RH method were selected to RH group. Patients' sexual function were evaluated by female sexual function index( FSFI),and the effect of NSRH on sexual function were investigated. Results Sexual drive,sexual intercourse acuity,sexual intercourse smoothness,sexual satisfaction and overall sexual function between before and after the NSRH operation had no significant difference( P > 0. 05); Nevertheless,the difference on those aspects before and after the RH operation had significant difference( P < 0. 05). Sexual drive and sexual satisfaction after the operation between NSRH group and RH group had no significant difference( P > 0. 05),but sexual drive,sexual intercourse acuity,sexual intercourse smoothness,sexual satisfaction and overall sexual function after the operation between NSRH group and RH group had significant difference( P < 0. 05). Conclusion The effect of NSRH on sexual function is not significant.
[1]杨慧云,吴海峰,黎世平,等.保留盆腔植物神经广泛性子宫切除术临床研究[J].中国妇幼保健,2012,27:4014-4015.
[2]张程霞,张晓静.腹腔镜下保留自主神经广泛子宫切除加盆腔淋巴结清扫术的手术护理配合[J].护士进修杂志,2014,29:161-162.
[3]段毅群,张扬,赵韵辉,等.预防腹膜内子宫广泛性切除及盆腔淋巴结清扫术并发症的研究[J].医学信息,2013,26:100-101.
[4]龙颖,姚德生,周科辰.保留盆腔神经的根治性子宫切除术治疗宫颈癌临床疗效的系统评价[J].中国循证医学杂志,2010,10:1205-1212.
[5]刘毅.腹腔镜广泛子宫切除及盆腔淋巴结清扫治疗子宫恶性肿瘤的临床价值[J].中国医药指南,2012,10:43.
[6]Wang HB,Wu SH,Wang ZH,et al.Clinical outcome following radical hysterectomy and pelvic lymphadenectomy for early-stage cervical cancer[J].Chinese-German J Clin Oncol,2008,7:723-727.
[7]罗岳西,伍燕,刘先平,等.腹腔镜下宫颈癌根治术保留盆腔自主神经的近期疗效观察[J].西部医学,2012,24:2365-2367.
[8]Sakuragi N,Todo Y,Kudo M,et al.A systematic nerve-sparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function[J].Int J Gynecol Cancer,2005,15:389-397.
[9]Fujii S,Takakura K,Matsumura N,et al.Anatomic identification and functional outcomes of the nerve sparing Okabayashi radical hysterectomy[J].Gynecol Oncol,2007,107:4-13.
基本信息:
DOI：10.13455/j.cnki.cjcor.2015.10.11
中图分类号:R737.33
引用信息:
[1]郭芳芳,袁勇,曹慧芳,等.保留自主神经功能的子宫广泛切除及盆腔淋巴结清扫术后对宫颈癌患者性功能的影响[J].中国肿瘤临床与康复,2015,22(10):1188-1191.DOI:10.13455/j.cnki.cjcor.2015.10.11.
基金信息:
吉林省自然科学基金项目,No.2012ZC005
2015-10-20
2015-10-20