腹腔镜-阴道骶骨固定术后性生活质量的评价

Quality of sexual activity following larparoscopic sacrocolcopexy

目的:探讨腹腔镜阴道-骶骨固定术对中-重度盆腔器官脱垂(POP)患者术后性生活质量的影响。方法:回顾性分析2008年1月至2011年3月因中-重度POP行腹腔镜阴道-骶骨固定术的40例患者的临床资料,采用盆底器官脱垂/尿失禁对性功能影响问卷简表12(PISQ-12)评估患者术前及术后性生活质量情况,采用PGI-I问卷评估患者对手术的整体满意度。结果:40例患者术前和术后PISQ-12评分分别为(29.6±10.5)、(36.0±0.6)分,两者比较,差异有统计学意义(P<0.01)。38例(95%)患者对手术效果感到非常满意;2例(5%)较为满意。结论:腹腔镜阴道-骶骨固定术可改善中-重度POP患者术后性生活质量,提高手术满意度,但远期疗效有待进一步随访研究。

Objective：To determine the quality of sexual activity in women who had severe pelvic organ prolapse （POP） following laparoscopic saeroeolpopexy （LSC）. Methods： We retrospectively analyzed the clinical profiles of 40 women with severe POP who underwent LSC between January 2008 and March 2011. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire （PISQ-12） was employed to assess the patients＇ sexual aeitivty prior to and following LSC, and Patients＇ s Global Impression of Improvement （ PGI- I） was applied to determine the overall satisfaction to LSC. Results： LSC resulted in a marked reduction in PISQ- 12 score （ [ 29.6 ± 10.5 ] vs. [ 36. 0±0. 6 ], P 〈 0.01 ）. 38 patients （95%） showed considerable satisfaction and 2 （5%） responded satisfactorily. Conclusion： LSC may improve the quality of sexual activity and satisfaction postoperatively in women with severe POP yet requires further investigation with regard to the long- term efficacy.