卵巢移位及腹膜阴道延长术对宫颈癌根治术患者内分泌和生活质量的影响

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目的:探讨卵巢移位及腹膜阴道延长术对宫颈癌根治术患者内分泌和生活质量的影响。方法:将90例经病理诊断为宫颈癌患者按照奇偶数字法随机分为对照组与观察组各45例。对照组行宫颈癌根治术,观察组行宫颈癌根治术+卵巢移位+腹膜阴道延长术。比较两组手术前后性激素水平、手术指标、阴道长度、性生活质量、生活质量、术后并发症。结果:观察组手术前后性激素(E2、P、FSH、LH)水平差异无统计学意义(P>0.05),对照组手术前后E2、P明显降低,FSH、LH明显升高;观察组术后阴道长度(9.18±1.08)cm、性生活满意度(80.00%)、生活质量评分均明显高于对照组(P<0.05);两组手术时间、术中出血量、术后并发症比较差异无统计学意义(P>0.05)。结论:卵巢移位及腹膜阴道延长术可避免术后内分泌紊乱,延长阴道长度,提高患者生活质量。 Objective: To investigate the effects of ovarian transposition and peritoneal extension on the endocrine and quality of life of patients with cervical cancer undergoing radical operation. Methods: Ninety patients diagnosed as cervical cancer by pathology were randomly divided into control group and observation group according to the odd-even number method. The control group underwent radical mastectomy of cervical cancer, and the observation group underwent radical mastectomy + ovarian transposition + peritoneal vaginosis. The levels of sex hormones, operation indexes, vaginal length, sexual life quality, quality of life and postoperative complications were compared between the two groups before and after surgery. Results: Before and after operation, the levels of E2, P, FSH and LH in the observation group were not significantly different (P> 0.05). The levels of E2 and P in the control group were significantly decreased and the FSH and LH were significantly increased in the observation group. (9.18 ± 1.08) cm, sexual life satisfaction (80.00%), quality of life scores were significantly higher than the control group (P <0.05); no significant difference in the operation time, blood loss, postoperative complications between the two groups Significance (P> 0.05). Conclusion: Ovarian transposition and peritoneal vaginal prolongation can prevent postoperative endocrine disorders, prolong the vaginal length and improve the quality of life of patients.
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