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目的探讨保留盆腔神经宫颈癌根治术对患者性生活质量的影响。方法选取2013年7月至2015年7月间山东省临朐县人民医院收治的90例子宫颈癌患者,采用随机数字表法分为观察组与对照组,每组45例。观察组患者给予保留盆腔神经宫颈癌根治术,对照组患者给予传统宫颈癌根治术,对比两组患者围术期指标、术后并发症发生率和术后6个月的性生活质量。结果对照组患者肛门排气时间、肛门排便时间和保留输尿管的天数分别为(120.34±24.23)h、(90.67±12.90)h和(15.67±2.09)d,观察组患者分别为(78.90±10.56)h、(62.77±11.33)h和(11.21±1.87)d,两组比较,差异均有统计学意义(均P<0.05)。对照组患者性欲望、性唤起、阴道润滑度、性高潮、性生活满意度和性交疼痛评分分别为(2.67±0.34)分、(2.54±0.67)分、(2.83±0.66)分、(2.77±0.53)分、(2.90±0.78)分和(2.92±0.67)分,观察组患者分别为(3.25±0.35)分、(3.30±0.56)分、(3.43±0.71)分、(3.56±0.65)分、(3.73±0.83)分和(3.90±0.62)分,两组比较,差异均有统计学意义(均P<0.05)。结论保留盆腔神经宫颈癌根治术比传统宫颈癌根治术治疗早期宫颈癌的临床疗效更加显著,围术期指标较好,可改善患者术后性生活质量。
Objective To investigate the effect of preserving pelvic nerve root excision on the quality of life of patients with cervical cancer. Methods Ninety patients with cervical cancer who were treated in Linqu County People’s Hospital of Shandong Province from July 2013 to July 2015 were randomly divided into observation group and control group with 45 cases in each group. The patients in the observation group were given radical prostatectomy with pelvic cervical cancer and the control group with conventional cervical cancer. The perioperative indexes, the incidence of postoperative complications and the quality of sexual life at 6 months after operation were compared. Results In the control group, the time of anal exhaust, anal defecation and ureteral retention were (120.34 ± 24.23) h, (90.67 ± 12.90) h and (15.67 ± 2.09) d, respectively. The patients in the observation group were (78.90 ± 10.56) h, (62.77 ± 11.33) h and (11.21 ± 1.87) d, respectively. There was significant difference between the two groups (all P <0.05). (2.67 ± 0.34) points, (2.54 ± 0.67) points, (2.83 ± 0.66) points and (2.77 ± 0.66) points in the control group were respectively sexual desire, sexual arousal, vaginal lubrication, orgasm, sex life satisfaction and intercourse pain scores (3.25 ± 0.35) points, (3.30 ± 0.56) points, (3.43 ± 0.71) points and (3.56 ± 0.65) points respectively in the observation group (2.90 ± 0.78) and (2.92 ± 0.67) , (3.73 ± 0.83) points and (3.90 ± 0.62) points respectively. There was significant difference between the two groups (all P <0.05). CONCLUSION: Radical preservation of pelvic cervical cancer is more effective than traditional radical cystectomy in the treatment of early stage cervical cancer. The perioperative period is better and the quality of postoperative sexual life can be improved.