摘要
目的了解腹腔镜子宫全切除术（LSH）术后近期盆底功能及性生活状况。方法选取2013年3月至2015年8月因妇科良性疾病行腹腔镜LSH的32例患者进行问卷随访观察，调查采用国际尿失禁咨询委员会尿失禁问卷简表及1h尿垫试验、女性性生活质量调查表（SLQQ）、男性配偶性生活满意度。结果术后随访1~3年，32例患者盆腔器官脱垂64例（6／32，18．8％），尿失禁13例（13／32，40．6％），盆地功能障碍症状主要集中在排尿症状（咳嗽漏尿12例、点滴漏尿5例、尿频6例、尿急3例、尿痛2例）、排便症状（便秘154例、便急3例、无法排尽大便5例）及其他症状（小腹疼痛1例）；27例患者SLQQ总分（85．21±16．57）分，95％CI（78．21±9221），生理因素、情感因素、性伴侣因素分值与sLQQ总分呈高度相关，且强度生理因素〉性伴侣因素〉情感因素，差异有统计学意义（P〈0，01）；24例患者男性配偶中54．1％的患者男性配偶不满意自己目前的性生活。结论LSH可能对患者盆底功能及伴侣性生活质量存在不良影响。
Objective To evaluate status of female pelvic floor function and sexual hfe after laparoscopic hysterectomy. Methods From March 2013 to August 2015, 32 patients with hysterectomy due to benign gynecological diseases were enrolled in this study. They were followed up at outpatient department, including general physical examination, international consultation on incontinence questionnaire-short form （ICI-Q-SF） , pad test of one hour, sexual life quality questionnaire （ SLQQ ） of patients, sex life satisfaction of husbands （ SLS ） . Results On follow up 1 ~3 years after total hysterectomy, it was observed that 6 cases （6/32, 18.8%） were pelvic organ prolapse and 13 cases （ 13/32, 40.6% ） were urinary incontinence. Symptoms of pelvic floor dysfunction concentrated in urinating symptoms （ 12 cases with cough leak, 5 cases with spot urine leakage, 6 cases with frequent micturition, 3 cases with urgent urination, 2 cases with painful urination ） , defecating symptoms （ 15 cases with constipation, 3 cases with defecation urgency, 5 cases without fully drained stool ） and other symptoms （ 1 cases with alvine ache ） . 27 cases with SLQQ score were （ 85.21±16.57 ） and 95% CI were （ 78.21±92.21 ） . Physiological factors, emotional factors, sexual partners scores of SLQQ were highly correlated with SLQQ total scores. The physiological factors＇ intensity of relevancy stronger than partners and emotional factors, there were significant difference statistically significant （ P〈0.01 ） . The results of SLS were 54.1% of 2d cases patient＇s husbands were not satisfied with them current sex life. Conclusion Hysterectomy may have adverse effect on female pelvic floor function and couples sexual life.
出处
《浙江临床医学》
2018年第2期254-256,共3页
Zhejiang Clinical Medical Journal
基金
国家中医重点专科外科学建设项目（ZJ1101WK023）
关键词
腹腔镜子宫切除术
盆腔器官脱垂
尿失禁
性生活质量
Laparoscopic total hysterectomy Pelvic organ prolapse Urinary incontinence Sexual hfe quality
