Sadoun C, Ohannessian A, Carcopino X, Mauviel F, Boubli L, Agostini A
Service de gynécologie obstétrique, hôpital Sainte-Musse, 83200 Toulon, France.
Service de gynécologie obstétrique, hôpital La Conception, 147, boulevard Baille, 13005 Marseille cedex 05, France.
J Gynecol Obstet Biol Reprod (Paris). 2016 Feb;45(2):120-3. doi: 10.1016/j.jgyn.2015.11.004. Epub 2015 Dec 23.
To assess the consequences of loop electrosurgical excision procedure (LEEP) on the quality of sexual life.
A prospective observational study in two university hospital departments in Marseille, France, including women requiring a LEEP. Sexual quality of life was assessed before LEEP and three months after the procedure with a self-administered validated questionnaire: the Brief Index of Sexual Functioning for Women (BISF-W).
Among the 100 women included, 69 filled both questionnaires. Among the 69 women whose outcomes were available, composite BISF-W score was significantly lower before LEEP than three months after LEEP (28.3±13 vs 30.1±13.2; P=0.01). The items scores concerning desire (D1) and orgasm (D5) were significantly improved after LEEP (4.3±2.3 vs 5±2.2 [P<0.001] and 4.3±2.5 vs 4.7±2.6 [P<0.001]).
This study found an improved quality of sexual life after LEEP. These findings suggest that the psychological impact of HPV infection on sexual function is greater than the anatomical and functional impact of LEEP.
评估环形电切术（LEEP）对性生活质量的影响。
在法国马赛的两家大学医院科室进行一项前瞻性观察性研究，纳入需要进行LEEP的女性。在LEEP术前及术后三个月，使用一份经过验证的自填式问卷：女性性功能简要指数（BISF-W）对性生活质量进行评估。
纳入的100名女性中，69名填写了两份问卷。在可获得结果的69名女性中，BISF-W综合评分在LEEP术前显著低于术后三个月（28.3±13对30.1±13.2；P=0.01）。关于性欲（D1）和性高潮（D5）的项目评分在LEEP术后显著改善（4.3±2.3对5±2.2 [P<0.001]以及4.3±2.5对4.7±2.6 [P<0.001]）。
本研究发现LEEP术后性生活质量有所改善。这些发现表明，人乳头瘤病毒（HPV）感染对性功能的心理影响大于LEEP的解剖学和功能影响。
