[阴道封闭术对重度盆腔器官脱垂女性身体形象的影响]

[Impact of colpocleisis on body image in women with severe pelvic organ prolapse].

作者信息

Zhang Ying-hui, Lu Yong-xian, Liu Xin, Liu Jing-xia, Shen Wen-jie, Wang Wen-ying, Ge Jing, Zhao Ying, Niu Ke

机构信息

Department of Obstetrics and Gynecology, First Affiliated Hospital, General Hospital of People's Liberation Army, Beijing 100048, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2011 Jun;46(6):431-4.

PMID:21781584

Abstract

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 III and IV by 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 difficult 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.

摘要

目的

探讨阴道封闭术对重度盆腔器官脱垂（POP）女性身体形象的影响。

方法

2005年10月至2010年2月，60例根据盆腔器官脱垂定量系统评估为Ⅲ期和Ⅳ期的POP患者接受了全阴道或部分阴道封闭术。患者在手术前及术后1年接受身体形象评估。

结果

术后1年，52例（87%，52/60）患者完成了身体形象评估。手术前及术后1年，对于“由于阴道脱垂，你是否觉得自己身体吸引力下降？”“由于阴道脱垂，你是否觉得自己女性特质减少？”“你是否觉得难以正视裸体的自己？”“由于阴道脱垂，你是否觉得自己性吸引力下降？”“你是否对自己的身体不满意？”等问题，回答“完全没有”的比例分别为25%和96%（P<0.01）、21%和96%（P<0.01）、37%和67%（P=0.018）、29%和96%（P<0.01）、12%和83%（P<0.01），表明阴道封闭术治疗的患者术后身体形象有显著改善。