摘要
目的：观察早期宫颈癌行保留盆腔自主神经的腹腔镜广泛子宫切除术后患者性功能障碍及恢复情况。方法：52例Ⅰb_1~ Ⅱa期宫颈癌患者随机分为研究组和对照组各26例,研究组行腹腔镜下保留盆腔自主神经的广泛子宫切除术,对照组行常规的腹腔镜广泛性子宫切除术。比较两组术后性功能障碍及恢复情况。结果：研究组术后性功能障碍的发生率为23.1%,对照组术后性功能障碍的发生率为80.8%。在术后6个月,研究组和对照组的FSFI总分分别为（21.98±4.17）分和（16.92±4.15）分;两组相比差异有统计学意义（P〈0.05）。在术后1年,研究组的FSFI总评分为（26.97±4.43）分,显著高于观察组（18.23±4.13）分,差别有统计学意义（P〈0.05）。结论：采取保留盆腔自主神经的广泛性子宫切除术,患者术后性功能障碍的发生率低,术后性功能恢复早,且恢复满意。
Objectives：To observe the sexual dysfunction and recovery of patients with early-stage cervical carcinoma and received laparoscopic nerve-sparing radical hysterectomy.Methods：52 patients with Ⅰb1~ Ⅱa cervical cancer were randomized into a study group and a control group.The study group received laparoscopic nerve-sparing radical hysterectomy,while the control group received routine laparoscopic radical hysterectomy.The postoperative sexual dysfunction and its recovery of the two groups were compared.Results：The postoperative sexual dysfunction rate was 23.1% in the study group and 80.8% in the control group.At 6 months after operation,the total FSFI scores of the study group and the control group were 21.98 ± 4.17 and 16.92 ± 4.15 respectively.At 1year after operation,the total FSFI score in the study group was significantly greater than that in the control group（ 26.97 ± 4.43 vs.18.23 ± 4.13,P 〈0.05）.Conclusions：Postoperative sexual dysfunction rate is low in the patients underwent nerve-sparing radical hysterectomy,with early and satisfactory recovery of sexual function.
出处
《中国性科学》
2016年第1期50-52,共3页
Chinese Journal of Human Sexuality
关键词
早期宫颈癌
广泛子宫切除术
保留神经
性功能
Early-stage cervical carcinoma
Radical hysterectomy
Nerve-sparing
Sexual function
