摘要
目的探讨阴道封闭术对重度盆腔器官脱垂（POP）患者体像的影响。方法解放军总医院第一附属医院于2005年10月至2010年2月期间，对60例实施阴道封闭术的POP定量分度法为Ⅲ～Ⅳ度的POP患者分别于术前及术后1年时进行体像评估。结果术后1年时共有52例患者完成体像评估，随访率为87％（52／60）。患者在术前及术后1年时对“阴道脱垂让你感觉缺少吸引力吗？”、“阴道脱垂让你感觉缺少女性魅力吗？”、“过去是否难以接受自己裸体？”、“阴道脱垂让你感觉缺少性吸引力吗？”以及“曾经对你的身体感到不满意吗？”5个问题的回答为“一点也不”的比例分别为25％和96％（P〈0．01）、21％和96％（P〈0．叭）、37％和67％（P=0．018）、29％和96％（P〈0．01）、12％和83％（P〈0．01），患者在阴道封闭术后对自身体像的认知明显提高。结论实施阴道封闭术的重度POP患者不会因为丧失阴道功能而降低对自身体像的认知。
Objective To investigate the impact of colpocleisis on body image in women with severe pelvic organ prolapse（POP）. Methods From Oct. 2005 to Feb. 2010,60 POP patients with stage Ⅲand Ⅳby POP quantitation system underwent total or partial colpocleisis. Patients received body image evaluation before and 1 year after operation. Results One year after operation, 52 （87% , 52/60） patients completed body image evaluation. Before and 1 year after operation, the ratio of answer ＂Not at all＂ of questions such as ＂Have you felt less physically attractive as a result of your vaginal prolapse？＂, ＂Have you been feeling less feminine as a result of your vaginal prolapse？＂ , ＂Did you find it diffieuh to look at yourself naked？＂, ＂Have you been feeling less sexually attractive as a result of your vaginal prolapse？＂, ＂ Have you felt dissatisfied with your body？＂ were 25% and 96% （P 〈 0.01 ）, 21% and 96% （P 〈 0.01 ）, 37% and 67% （P=0.018）, 29% and 96% （P〈0.01）, 12% and 83% （P〈0.01）, respectively, indicating significant improvement on body image after operation for patients treated by colpocleisis. Conclusion Women underwent colpocleisis for severe POP could not decrease their body image as a result of the disability of vaginal intercourse.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2011年第6期431-434,共4页
Chinese Journal of Obstetrics and Gynecology
基金
首都医学发展科研基金（2007-2032）
关键词
子宫脱垂
阴道
妇科外科手术
体像
生活质量
Uterine prolapse
Vagina
Gynecologic surgical procedures
Body image
Quality of life
