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

Effects of nerve-sparing radical hysterectomy and pelvic lymph node dissection on female sexual function

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。

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.