经阴道完全腹腔镜直肠癌根治术对女性性功能障碍的影响

Effect of the transvaginal total laparoscopic rectal cancer radical resection on female sexual dysfunction

目的：探讨经阴道腹腔镜直肠癌根治术对女性性功能的影响。方法：选取64例女性直肠癌患者,观察组31例经阴道完全腹腔镜直肠癌根治术,对照组33例常规腹腔镜直肠癌根治术,分别于术后6、12个月进行问卷调查或电话随访,记录患者术后的性功能变化情况,比较2种手术方式对女性患者性功能的影响。结果：术后6个月观察组患者阴道湿润度、性交痛和性生活满意度均差于对照组（P〈0.05~P〈0.01）。术后12个月,2组各项性功能指标差异均无统计学意义（P〉0.05）。结论：阴道完全腹腔镜直肠癌根治术后由于阴道干燥,短期内会对女性性功能造成一定影响,但随时间推移可恢复到与行常规腹腔镜手术相同的水平。

Objective： To explore the effects of the transvaginal total laparoscopic rectal cancer radical resection on female sexual dysfunction. Methods： Sixty-four female rectal cancer patients were randomly divided into the experimental group（ 31 cases） and control group（ 33 cases）. The experimental group and control group were treated with the transvaginal total laparoscopic and conventional laparoscopic rectal cancer radical resection,respectively. All patients were followed up using questionnaire survey or call after 6 and 12 months of operation,the sexual function of patients was recorded. The effects of two kinds of operation methods on sexual function were compared. Results： The vaginal moisture,pain during sex and sexual satisfaction in experimental group were worse than those in control group after 6 months of operation（ P〈0. 05 to P〈0. 01）. The differences of all index between two groups were not statistically significant after 12 months of operation（ P〈0. 05）. Conclusions： Because of the vaginal dryness,the transvaginal total laparoscopic rectal cancer radical resection has certain effects on female sexual function. With the time over,the female sexual function can recover the level of the patients treated with conventional laparoscopic rectal cancer radical resection.