保留盆腔自主神经宫颈癌根治术后患者性生活质量观察

Sexual life quality of patients with cervical cancer after pelvic autonomic nerve preservation radical surgery

目的:探究与分析宫颈癌根治术后患者及其配偶的性生活质量影响。方法:选取我院自2013年7月至2015年7月收治的80例早期(TNMⅠB至ⅡA期)宫颈癌患者,采取随机数字表法分为对照组与观察组,每组各40例。对照组给予传统宫颈癌根治术,观察组给予保留盆腔神经宫颈癌根治术,对比两组随访1年宫颈癌治疗功能评价量表得分、患者及其配偶的性生活质量评分。结果:观察组与对照组相比躯体状况、社会/家庭状况、情感状况、功能状况、总分均较高,差异具有统计学意义(P<0.05)。观察组与对照组相比配偶间总体关系、性关系、性欲、性交、性高潮及性困难评分均较低,差异具有统计学意义(P<0.05)。结论:保留盆腔神经宫颈癌根治术相比于传统宫颈癌根治术治疗早期宫颈癌可进一步改善患者的生活质量,减少了对患者及其配偶性生活质量的影响。

Objectives： To explore and analyze quality of sexual life of patients with cervical cancer after pelvic autonomic nerve preservation radical surgery. Methods： 80 patients with early cervical cancer（ TNM I B to II A） treated in our hospital from July 2013 to July 2015 were randomly divided into control group and observation group,with 40 cases in each group. Control group was given conventional cervical cancer radical prostatectomy,and observation group was given pelvic autonomic nerve preservation radical surgery. The cervical cancer therapeutic evaluation questionnaire scores and sexual life quality score of two groups after 1 year follow-up were compared.Results： Compared with control group,the body condition,social/family situation,emotional state,functional status and total score of observation group were higher,with statistically significant difference（ P 0. 05）. Compared with control group,the overall relationship between spouses,sexual relationship,sexual desire,sexual intercourse,orgasm and sexual difficulty scores of observation group were lower,with statistically significant difference（ P 0. 05）. Conclusion： Pelvic autonomic nerve preservation radical surgery in the treatment of early cervical cancer can further improve the sexual life quality of patients,and reduce the influence on the sexual life quality of patients.