腹腔镜乙状结肠代阴道成形术临床效果及术后患者生活质量评价分析.docVIP

腹腔镜乙状结肠代阴道成形术临床效果及术后患者生活质量评价分析 　　[摘要] 目的 探究腹腔镜乙状结肠代阴道成形术的临床效果及术后患者生活质量评价。方法 选择该院2007年1月―2016年3月收治的28例无气腹腹腔镜乙状结肠阴道成形术治疗的先天性无阴道患者，分析患者生活质量评分情况、手术情况、女性性功能指数（FSFI）评分及不良反应发生情况、术后阴道长度宽度、佩戴模具时间。结果 术后各项指标效果良好，阴道长度≥10 cm、宽度≥2.5 cm、佩戴模具时间平均（5.4±1.8）个月、社会功能（95.69±2.66）分、物质生活（96.67±3.02）分、躯体功能（97.03±2.33）分、心理功能（95.97±2.46）分、术中出血量平均（35.64±2.96）mL、手术时间平均（115.26±2.36）min、术后排气时间平均1.69 d、性欲（4.39±0.67）分、性交疼痛（4.42±0.68）分、性唤醒（4.41±0.16）分、阴道润滑度（4.89±0.98）分、性高潮（4.89±0.55）分、性交满意度（4.86±0.98）分。结论 腹腔镜乙状结肠代阴道成形术具有不良反应发生率较低、术中出血量少、FSFI评分高、术后阴道长度宽度适宜、佩戴模具时间短等显著效果。 　　[关键词] 腹腔镜；乙状结肠阴道成形术；先天性无阴道 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0068-03 　　[Abstract] Objective To study the evaluation of laparoscopically assisted sigmoid transplantation for vaginal construction and quality of life of postoperative patients. Methods 28 cases of patients with laparoscopically assisted sigmoid transplantation for vaginal construction treated in our hospital from January 2007 to March 2016 were selected and the quality of life score， operation situation， FSFI score， occurrence of adverse reactions， postoperative vaginal length and width and mould wearing time of patients were analyzed. Results The effect of various postoperative indexes was good， the vaginal length ≥10 cm， width ≥2.5 cm， average mould wearing time（5.4±1.8）months， social function （95.69±2.66）points， material life （96.67±3.02）points， somatic function（97.03±2.33）points， mental function（95.97±2.46）points， average intraoperative bleeding amount（35.64±2.96）mL， average operation time（115.26±2.36）min， average postoperative exhaust time 1.69 d， sexuality （4.39±0.67）points， dyspareunia（4.42±0.68）points， sex arousal（4.41±0.16）points， vaginal lubrication（4.89±0.98）points， orgasm （4.89±0.55）points and sex satisfactory degree（4.86±0.98）points. Conclusion The incidence rate of adverse reactions of laparoscopically assisted sigmoid transplantation for vaginal construction is lower with less intraoperative bleeding， high FSFI score， proper postoper