本文選題：壓力性尿失禁 + 尿道中段無張力懸吊術(shù)�。� 參考：《北京協(xié)和醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的:探討尿道中段懸吊術(shù)對壓力性尿失禁患者性生活質(zhì)量的影響。方法:應(yīng)用國際尿失禁咨詢委員會(huì)尿失禁問卷表簡表(ICI-Q-SF)及盆腔器官脫垂/尿失禁患者性功能問卷簡表(PISQ-12)對手術(shù)后3個(gè)月至28個(gè)月(平均隨訪時(shí)間為15.8±7.2個(gè)月)有活躍性生活的64例接受尿道中段懸吊術(shù)的患者進(jìn)行評分,按照病程長短、術(shù)后隨訪時(shí)間、患壓力性尿失禁時(shí)年齡及盆腔手術(shù)史進(jìn)行分組,比較手術(shù)前后PISQ-12總分及各因素評分的變化,評分越高,提示性生活質(zhì)量越高。結(jié)果:最終64名患者完成全部問卷,ICI-Q-SF評分較前明顯下降,差異有統(tǒng)計(jì)學(xué)意義,手術(shù)前PISQ-12總評分為30.61±6.15分,術(shù)后PISQ-12總評分為32.89±5.15分,兩者相比較有統(tǒng)計(jì)學(xué)意義(t=-4.28,p=0.00)。其中情感因素評分和伴侶因素評分無統(tǒng)計(jì)學(xué)意義,術(shù)前生理因素評分15.66±4.00分,術(shù)后生理因素評分17.91±2.99分,有統(tǒng)計(jì)學(xué)意義(t=-5.62,p=0.00)。各個(gè)分組情況:短期隨訪組和長期隨訪組患者術(shù)后PISQ-12總分和生理因素評分較術(shù)前升高且均有統(tǒng)計(jì)學(xué)意義;短病程的患者術(shù)后PISQ-12總評分及生理因素評分較術(shù)前具有顯著統(tǒng)計(jì)學(xué)意義,長病程組患者術(shù)后PISQ-12評分升高無統(tǒng)計(jì)學(xué)意義;患壓力性尿失禁時(shí)年齡≤55歲的患者PISQ-12總分及生理因素評分較術(shù)前升高有統(tǒng)計(jì)學(xué)意義,年齡大于55歲患者術(shù)后PISQ-12總分較術(shù)前增加,但無統(tǒng)計(jì)學(xué)意義(P=0.66);術(shù)后發(fā)生不良事件的9例患者手術(shù)后各項(xiàng)總分均無明顯改善。結(jié)論:尿道中段懸吊術(shù)在改善患者尿控的同時(shí)也可改善患者性功能,術(shù)后短期性功能未見下降,術(shù)后長期性功能較術(shù)前明顯改善,病程越長、患尿失禁年齡越大,手術(shù)對性功能的改善作用越小,術(shù)后尿控不佳者其性功能改善不明顯,術(shù)后出現(xiàn)不良事件的患者其性功能的恢復(fù)有一定的限制。
[Abstract]:Objective: to investigate the effect of urethral suspension on the sexual life quality of patients with stress urinary incontinence. Methods: ICI-Q-SF and PISQ-12 were used to evaluate the efficacy of ICI-Q-SF and PISQ-12 for 3 to 28 months after surgery (mean follow-up time was 15.8 鹵7.2 months) in patients with urinary incontinence (ICI-Q-SF) and pelvic organ prolapse / urinary incontinence (PISQ-12). The score of 64 patients undergoing urethral suspension was evaluated. According to the duration of the disease, the follow-up time after operation, the age of patients with stress urinary incontinence and the history of pelvic surgery, the changes of total PISQ-12 score and various factors before and after operation were compared. The higher the score, the higher the quality of sexual life. Results: the ICI-Q-SF score of 64 patients was significantly lower than that of the former. The total score of PISQ-12 before operation was 30.61 鹵6.15, and the total score of PISQ-12 after operation was 32.89 鹵5.15. There was significant difference between the two groups. The scores of emotional factors and partner factors were not statistically significant. The scores of physiological factors were 15.66 鹵4.00 before operation and 17.91 鹵2.99 after operation. The scores of PISQ-12 and physiological factors in short-term follow-up group and long-term follow-up group were significantly higher than those before operation. The total PISQ-12 score and physiological factor score of the patients with short course of disease were significantly higher than those of the patients with long course of disease, but there was no significant difference between the patients with long course of disease and the patients with long course of disease. The total score of PISQ-12 and the score of physiological factors in patients with stress urinary incontinence 鈮，

本文編號：1870031