96例妇科恶性肿瘤治疗后性生活状况分析

Clinical analysis of sexual life status among 96 patients with gynecological malignant tumor after treatment

目的:探究妇科恶性肿瘤治疗后性生活状况以及保留卵巢对性生活的意义。方法:选择2014年9月至2016年9月于我院接受妇科恶性肿瘤手术的96例患者,全部患者在接受3个月以上放化疗后行问卷调查,并观察对比保留卵巢组、卵巢缺失组性生活状况。结果:术后患者性生活频率在3~6次/月、>6次/月所占比例均显著低于术前(P<0.05);术前患者性生活满意度为52.1%显著高于术后(P<0.05);术前患者婚姻良好关系所占比例显著高于术后(P<0.05);保留卵巢组在性欲、性唤起、阴道润滑、性高潮、满意度、性交疼痛以及性功能指标量表总评分上均显著高于卵巢缺失组(P<0.05)。结论:妇科恶性肿瘤患者接受治疗后性生活质量显著下降,保留卵巢可有效促进性生活恢复,熟练掌握卵巢切除适应症,加强性健康教育,有助于改善性生活质量。

Objectives： To explore the sexual life status of patients with gynecological malignant tumor after treatment and the influence of ovary conservation on sexual life. Methods： 96 patients with gynecological malignant tumor treated in our hospital from September 2014 to September 2016 were selected. All patients received more than3 months of radiotherapy and chemotherapy questionnaire survey. And the sexual life status of ovarian preservation group and ovarian deficiency group was compared. Results： The proportion of patients with postoperative sexual life frequency of 3 ~ 6 times/month and 6 times/month was significantly lower than that before operation（ P 0. 05）. The preoperative sexual satisfaction（ 52. 1%） was significantly higher than that after operation（ P 0. 05）. The good relationship between couples before surgery was significantly higher than that after operation（ P 0. 05）. The sexual desire,sexual arousal,vaginal lubrication,orgasm,sexual satisfaction,pain and sexual function index scale total score in ovarian preservation group were significantly higher than these of ovarian deficiency group（ P 0. 05）. Conclusion： The quality of sexual life of patients with gynecological malignant cancer after treatment significantly decreased,and the preservation of ovary can effectively promote the recovery of sexual life.To master the indications of ovarian resection and strengthen the sexual health education can help to improve the quality of sexual life.