摘要
目的：探讨卵巢移位及腹膜阴道延长术加心理干预对宫颈癌根治术后性生活及生命质量的影响。方法：选取2015年2月至2016年6月本院收治的124例宫颈癌患者作为观察对象,将所选患者按照不同手术方式分为观察组与对照组,每组各62例,对照组患者实施常规宫颈癌根治术,观察组患者在对照组基础上行卵巢移位及腹膜阴道延长术,辅以心理干预。回顾性分析两组患者的临床资料,比较两组手术前后性生活状况及生命质量。结果：手术后,观察组患者阴道长度明显长于对照组患者（t=36.035,P〈0.001）。观察组患者手术至开始性生活的时间明显短于对照组患者,两组存在明显差异（t=19.490,P〈0.001）。观察组患者手术后性功能质量得分均明显高于对照组患者（t=39.053,P〈0.001）。手术后,观察组患者Olson婚姻质量问卷结果均明显优于对照组患者（t=6.178,P〈0.001）。两组进行治疗后不良反应发生情况的对比,两组并发症发生率不存在明显差异（χ2=0.185,P=0.668）。结论：对宫颈癌患者在宫颈根治术的基础上实施卵巢移位及腹膜阴道延长术可以有效延长患者术后阴道长度,缩短开始性生活的时间,同时给予心理干预,可以有效提高健康认知水平,改善患者术后性生活和生命质量。
Objective：To investigate the effect of ovarian transposition,peritoneum vaginal lengthening and psychological intervention on sexual life and quality of life after radical resection of cervical cancer.Methods：A total of 124 cases of cervical cancer treated in our hospital from February 2015 to June 2016 were selected as the objects of observation,and selected patients were divided into the observation group and the control group according to different surgical methods,62 cases in each group;the control group were treated with conventional radical mastectomy,and patients in the observation group were treated with ovarian transposition and peritoneal vaginal lengthening on the basis of the control group,and psychological intervention was also performed.The clinical data of two groups were retrospectively analyzed.The sexual life status and quality of life were compared between the two groups before and after the operation.Results：After operation,the length of vagina in the observation group was significantly higher than that in the control group（t=36.035,P〈0.001）.The operation time of the observation group was significantly shorter than that of the control group,and there was a significant difference between the two groups（t=19.490,P〈0.001）.The score of sexual function in the observation group was significantly higher than that in the control group（t=39.053,P〈0.001）.After the operation,the Olson marital quality questionnaire in the observation group was significantly higher than that in the control group（t=6.178,P 0.001）.The adverse reactions occurred in the two groups after treatment,and there was no significant difference in the incidence of complications between the two groups（χ2=0.185,P=0.668）.Conclusion：On the basis of radical cervical surgery,ovarian transposition and peritoneum vaginal lengthening can effectively prolong the vaginal length,shorten the time of initiation of sexual life;Giving psychological intervention at the same time can effectively improve the health cognitive level and the postoperative sexual life and quality of life.
作者
陶震
TAO Zhen(Obstetrics and Gynecology, People＇s Hospital of Biyang County, Henan 463700,Chin)
出处
《中国健康心理学杂志》
2018年第6期851-855,共5页
China Journal of Health Psychology
关键词
卵巢移位
腹膜阴道延长术
心理干预
宫颈癌根治术
性生活
生命质量
Ovarian transposition sPeritoneal vaginal lengthening
Psyehological intervention sRadical resection of cervical cancer
Sexual life
Quality of life
