本文選題：卵巢移位　切入點：腹膜陰道延長　出處：《中國性科學(xué)》2016年11期 　論文類型：期刊論文

【摘要】：目的:探討卵巢移位聯(lián)合腹膜陰道延長對卵巢癌患者免疫功能及性生活質(zhì)量的影響。方法:選擇2012年4月至2014年12月本院收治的宮頸癌患者80例,按照隨機數(shù)字法分為兩組,各40例,對照組實施常規(guī)宮頸癌根治術(shù),觀察組在對照組基礎(chǔ)上行卵巢移位及腹膜陰道延長。隨訪12個月。統(tǒng)計兩組術(shù)后6個月女性性功能質(zhì)量,干預(yù)前后兩組免疫球蛋白變化情況,術(shù)后6個月時患者陰道長度、開始性生活時間及治療期間發(fā)生并發(fā)癥情況。結(jié)果:觀察組性欲望、性興奮、性高潮、疼痛、陰道潮濕和性滿意度6項得分均高于對照組(P0.05),觀察組性功能質(zhì)量評分顯著高于對照組(P0.05);干預(yù)后兩組IgM、Ig G和Ig A水平低于干預(yù)前(P0.05),干預(yù)后觀察組IgM、Ig G和Ig A水平低于干預(yù)后對照組(P0.05);觀察組術(shù)后陰道長度長于對照組(P0.05),開始性生活時間早于對照組(P0.05);觀察組發(fā)生術(shù)后尿潴留、卵巢功能減退、術(shù)后陰道狹窄及骨質(zhì)疏松整體比例低于對照組(P0.05)。結(jié)論:卵巢移位聯(lián)合腹膜陰道延長能有效提高卵巢癌根治術(shù)患者術(shù)后性生活質(zhì)量,提高患者機體免疫功能,減少術(shù)后因臨床功能不全或喪失導(dǎo)致的并發(fā)癥。
[Abstract]:Objective: to investigate the effect of ovarian transposition combined with peritoneal vaginal lengthening on immune function and sexual life quality in patients with ovarian cancer. Methods: 80 patients with cervical cancer admitted from April 2012 to December 2014 were divided into two groups according to random number method. 40 cases in each group were treated with routine radical cervical cancer operation, and the observation group were treated with ovarian transposition and peritoneal vagina lengthening on the basis of the control group, and were followed up for 12 months. The female sexual function quality was counted at 6 months after operation in the two groups. The changes of immunoglobulin in the two groups before and after intervention, the length of vagina, the onset of sexual life and the complications occurred during the treatment at 6 months after intervention. Results: sexual desire, sexual excitement, orgasm and pain were observed in the observation group. The scores of vaginal humidity and sexual satisfaction were higher than those of control group (P 0.05), the scores of sexual function quality in observation group were significantly higher than those in control group (P 0.05), the levels of IgMN Ig G and IgA in two groups were lower than those before intervention, and the levels of IgMN Ig G and IgA in observation group were low after intervention. The length of vagina in the observation group was longer than that in the control group, and the onset of sexual life was earlier than that in the control group. The overall ratio of ovarian dysfunction, postoperative vaginal stenosis and osteoporosis was lower than that of the control group (P0.050.Conclusion: ovarian transposition combined with vaginal lengthening of peritoneum can effectively improve the quality of sexual life and the immune function of the patients after radical operation of ovarian cancer. Reduce postoperative complications due to clinical insufficiency or loss.
【作者單位】： 解放軍第323醫(yī)院腫瘤科;解放軍第323醫(yī)院婦產(chǎn)科;第四軍醫(yī)大學(xué)基礎(chǔ)部;
【分類號】：R737.31

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