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目的探讨保留自主神经功能的子宫广泛切除(NSRH)及盆腔淋巴结清扫术后对宫颈癌患者性功能的影响。方法随机选取吉林省肿瘤医院2011年12月至2013年12月间行NSRH及盆腔淋巴结清扫术的患者50例,为NSRH组;行传统广泛性子宫切除术(RH)及盆腔淋巴结清扫术的患者50例,为RH组。使用女性性功能量表(FSFI)评定两组患者术前、术后性功能状况。分析患者行NSRH及盆腔淋巴结清扫术后对性功能的影响。结果 NSRH组患者术前与术后性冲动、性交感官敏锐度、性交顺畅度、性交满意度和性功能评分的差异无统计学意义(P>0.05)。而RH组术前与术后性冲动、性交感官敏锐度、性交顺畅度、性交满意度和性功能评分的差异均有统计学意义(均P<0.05)。术后NSRH组与RH组患者性冲动和性交满意度评分的差异均无统计学意义(均P>0.05);术后NSRH组患者性交感官敏锐度、性交顺畅度和性功能评分均高于RH组(均P<0.05)。结论 NSRH及盆腔淋巴结清扫术对女性性功能无显著影响。
Objective To investigate the effect of extensive hysterectomy (NSRH) for preserving autonomic nerve function and sexual function in patients with cervical cancer after pelvic lymph node dissection. Methods Fifty patients with NSRH and pelvic lymphadenectomy were randomly selected from Jilin Cancer Hospital between December 2011 and December 2013 as NSRH patients. Patients undergoing conventional radical hysterectomy (RH) and pelvic lymphadenectomy 50 cases, RH group. Preoperative and postoperative functional status were assessed using the Female Sexual Function Inventory (FSFI). Analysis of patients with NSRH and pelvic lymph node dissection on sexual function. Results There was no significant difference in preoperative and postoperative impulsiveness, sexual sensory sensitivity, sexual intercourse smoothness, sexual intercourse satisfaction and sexual function scores in NSRH group (P> 0.05). The preoperative and postoperative impulsiveness, sexual sensory sensitivity, sexual intercourse fluency, sexual intercourse satisfaction and sexual function scores of RH group were significantly different (all P <0.05). There were no significant differences in sexual impulse and sexual intercourse satisfaction score between NSRH group and RH group after operation (all P> 0.05). The scores of sexual sympathetic sensitivity, sexual intercourse and sexual function were significantly higher in NSRH group than those in RH group Group (all P <0.05). Conclusion NSRH and pelvic lymphadenectomy have no significant effect on female sexual function.