综合干预对阴道成形术患者性功能影响的临床研究

目的：探讨综合干预对阴道成形术患者性功能的影响。方法：选取先天性无阴道或阴道部分缺失行阴道成形术治疗的患者41例,随机分为两组,使其有可比性。对照组患者实施常规干预;观察组患者在对照组基础上实施综合干预。对两组患者性功能状况以及心理状况进行评价。结果：经过干预,两组患者术后半年及1年时性生活质量分别较术后3个月及半年时有明显提高,且在术后1年时观察组患者性生活质量明显高于对照组;在术后1年时,观察组女性性功能状况在性欲、性唤起、性高潮、性心理以及性行为异常症状5个方面的得分均明显高于对照组;经过干预,两组患者术后SAS、SDS得分较术前均有明显降低,其中观察组患者降低更为明显。上述比较差异具有统计学意义（P＜0.05）。结论：对阴道成形术患者实施综合干预有利于提高患者的性功能。

Effect of comprehensive intervention on the sexual function of patients having received vaginoplasty

Objectives：To investigate the impact of comprehensive intervention on the sexual function of patients having received vaginoplasty.Methods：41 patients with congenital absence of vagina or vaginal partial de-letion received vaginoplasty and randomly divided into two groups,implementing routine intervention in the control group and comprehensive intervention in the observation group on the basis of routine intervention.The sexual func-tion and mental status of the two groups were evaluated.Results：Compared with situation 3 months or half year af-ter the surgery,there were significant improvement in the sex life quality a year later in both groups due to the inter-vention;sex life quality of observation group was much higher than the control group;the scores of female sexual function in the aspects of sexual desire,arousal,orgasm,sexual psychology and sexual abnormalities were much higher than the control group;the SAS and SDS scores of both groups were significantly lower than the preoperative scores,more obvious for the observation group.These differences were statistically significant （P〈0.05）.Conclusion：Comprehensive intervention is conducive to improving the sexual function of patients having received vaginoplasty.