CAJ | 학술논문

分析前盆腔器官脱垂(AOP)和张力性尿失禁(SUI)对绝经后妇女性生活质量的影响,并观察个体化修补术及无张力性阴道吊带(TVT-O)手术治疗后性生活质量的变化.选择2008年6月至2012年3月于北京医院就诊的绝经后48 ～ 65岁患者分为3组,AOP组52例,SUI组30例,门诊常规查体排除妇科及泌尿系统疾病25例为对照组,比较三组性生活质量问卷-31(PISQ-31)评分.对前2组进行相应的手术治疗,术后3、6个月再次进行PISQ-31评分,并与术前做比较.结果显示,术前SUI组PISQ-31明显低于对照组和AOP组(P＜0.01),SUI组术后评分较术前明显提高(P＜0.01),而AOP组比较手术治疗前后评分无统计学意义(P＞0.05).
분석전분강기관탈수(AOP)화장력성뇨실금(SUI)대절경후부녀성생활질량적영향,병관찰개체화수보술급무장력성음도조대(TVT-O)수술치료후성생활질량적변화.선택2008년6월지2012년3월우북경의원취진적절경후48 ～ 65세환자분위3조,AOP조52례,SUI조30례,문진상규사체배제부과급비뇨계통질병25례위대조조,비교삼조성생활질량문권-31(PISQ-31)평분.대전2조진행상응적수술치료,술후3、6개월재차진행PISQ-31평분,병여술전주비교.결과현시,술전SUI조PISQ-31명현저우대조조화AOP조(P＜0.01),SUI조술후평분교술전명현제고(P＜0.01),이AOP조비교수술치료전후평분무통계학의의(P＞0.05).
To assess the effect of cystocele (anterior pelvic organ prolapse,AOP)or stress urinary incontinence (SUI) on sex life quality in postmenopausal women under 65 years and observe the change of sex life quality after individualized surgical repair and tension-free vaginal tape-obturator (TVT-O).The postmenopausal patients aged 48 to 65 years at Beijing Hospital were observed from June 2008 to December 2010.They were divided into 3 groups of AOP (n =52),SUI (n =30) and control without gynecological and urinary system diseases on routine examinations (n =25).Their sexual life qualities were evaluated by pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ-31)with 31 items before treatment and at 3,6 months after surgical treatment in AOP and SUI groups.The sexual life quality scores were significantly lower in SUI group than those in control and AOP groups(P ＜ 0.01).It significantly increased after TVT-O treatment(P ＜0.01).There was no significant difference after treatment when compared with that before treatment in POP group.