阴道紧缩术的应用及术后影响患者生活质量的相关因素分析(1)
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[摘要]目的:探讨阴道紧缩术对患者生活质量的影响,同时分析影响生活质量的相关因素。方法:通过具有较强信度和效度的生活质量问卷调查表及电话随访,分别调查患者手术前后生活质量方面6个维度的得分,使用SAS9.1.3统计软件对手术前后所得数据进行统计分析,并对可能影响生活质量的潜在因素进行比较分析。结果:48例患者随访2～16个月,术后生活质量较术前明显提高,6个维度中除“总体健康”外,其余5个维度得分均显著提高,具有统计学意义,其中以夫妻性生活提高最为显著。结论:阴道紧缩术能够提高性生活质量,改善夫妻感情。但患者满意度与医生谈话、手术效果、患者性格、家庭关系及文化素养均有一定关系。
[关键词]阴道紧缩术;生活质量;相关因素
[中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)10-1432-03
Related contributing factor analysis of quality of life after vagina tighten surgery
PENG Li,HUANG Ze-chun,WANG Hong-mei,LI Zhi-xiang,LI Xia-xia,YAN Dan
(Department of Plastic and Cosmetic Surgery,the First People's Hospital of Chenzhou,Chenzhou 423000,Hunan,China)
Abstract:ObjectiveTo investigate the quality of sexual life and daily life of patients after vagina tighten surgery and its relevant contributing factors.Methods6 indexes in quality of life of patients before and after vagina tighten surgery were investigated by the form of questionnaires and telephone follow-up, these data were statistically analyzed with SAS 9.1.3, the relevant contributing factors to quality of life were compared and analyzed.Results48 cases were followed up for 2 to 16 months, after the operation all cases of quality of life especially sexual life were marked improved, 5 in 6 indexes of scores increased with the difference was statistically significant. ConclusionVagina tighten surgery is a effective way to improve quality of sexual life,but it is not the decisive factor to improve conjugal relation,the satisfaction is related to the talking with doctor, operation effect, patient character, family relation and education.
Key words: vagina tighten surgery; quality of life; related factor
阴道松弛症是一种正常的生理现象,常因分娩、外伤及自然老化而造成阴道周围肌肉损伤、括约肌功能减退,粘膜皱襞变少变浅[1],影响正常生活及性生活和谐,并给患者造成较重的身心压力。随着经济文化的发展,人们对生活质量的追求也在不断提高,追求性生活和谐已不再是难言之隐,阴道松弛要求行紧缩整形患者日益增多。我科近3年来行阴道紧缩术患者48例,通过生活质量问卷调查,比较患者手术前后生活质量的提高情况,并对可能影响患者生活质量提高的潜在因素,进行相关性比较分析。
1资料和方法
1.1一般资料:本组48例,年龄最小26岁,最大53岁,平均38岁,全部为经产妇,44例为经阴道顺产产妇,4例年龄偏大者为剖腹产,其中6例生育3胎,22例生育2胎,20例生育1胎,4例剖腹产妇女年龄42岁～53岁,有长久的性生活史和频繁的流产史。体查:会阴轻度松弛容纳2～3指者8例,中度松弛容纳3指以上者18例,重度松弛容纳4指以上者22例且有6例合并撕裂伤。患者就诊主要原因:夫妻性生活质量下降、没感觉、不满意,严重影响夫妻感情(75%);感觉会阴体区塌陷,阴道前庭区松散、广泛凹陷,阴道松弛分泌物多容易感染给患者造成一定心理压力者(10%);夫妻感情不和,希望依靠此手术挽救家庭、挽回丈夫者(15%),所有患者阴道紧缩手术后伤口愈合良好 ......
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