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目的研究经阴道前壁手术对患者性生活的影响和随着术后时间延长性功能的变化趋势。方法2001年1月至2007年1月在我院接受经阴道无张力尿道中段悬吊术(TVT)、经闭孔无张力吊带术(TVT-O)、前路植入网带及整体植入网带术的患者共142例,109例同意参加本研究。采用改良Lemack问卷评估术前3个月、术后6～12个月及术后12个月以后患者性生活质量。结果109例患者中有48例是术前和(或)术后无性生活,余61例(56.0%)患者手术前后均有性生活。患者性生活的频率、对性生活的感觉、性高潮频率、性生活时是否感觉阴道存在吊带或网带及性伴不适症状术后与术前相比,差异均无统计学意义。根据患者对性功能的主观感受,21例(34.4%)自觉术后性功能下降,12例(19.7%)自觉改善,28例(45.9%)自觉无变化;术后12个月以后也无进一步改变。结论61例患者中有40例患者(65.6%)术后性功能未受损,术后12个月以后与术后6～12个月相比,性功能未发生进一步变化。
Objective To study the effect of transvaginal anterior wall surgery on the patients’ sexual life and the change tendency of the function with time after the operation. Methods From January 2001 to January 2007 in our hospital, patients underwent transvaginal tension-free urethral mid-wall suspension (TVT), trans-tension-free tensioning (TVT-O), anterior embedding and meshing A total of 142 patients with mesh banding surgery, 109 patients agreed to participate in this study. The improved Lemack questionnaire was used to evaluate the quality of life of patients after 3 months, 6 to 12 months and 12 months after operation. Results Of the 109 patients, 48 had preoperative and / or postoperative asexual life, and 61 (56.0%) had sex before and after surgery. The frequency of sexual life of patients, the feeling of sexual life, orgasm frequency, sexual life, whether there is suspicion of vaginal sling or mesh belt and discomfort symptoms compared with preoperative, the difference was not statistically significant. According to the patients’ subjective perception of sexual function, 21 cases (34.4%) consciously decreased their postoperative sexual function, 12 cases (19.7%) consciously improved and 28 cases (45.9%) consciously did not change. There was no further follow-up after 12 months change. Conclusions 40 of 61 patients (65.6%) had no functional impairment after operation, and no further changes in sexual function occurred after 12 months and 6-12 months after operation.