子宫动脉栓塞术治疗有症状子宫肌瘤术后患者生存质量的评估  

Evaluation of the quality of life after uterine artery embolization in women with symptomatic uterine leiomyoma

作　　者：梁静[1] 李敏[1] 孙春玲[2] 卞美璐[1] 

机构地区：[1]中日友好医院妇产科,北京100029 [2]北京海淀医院妇产科

出　　处：《现代妇产科进展》2007年第4期297-299,共3页Progress in Obstetrics and Gynecology

摘　　要：目的评估腹腔镜辅助下经阴道全子宫切除术(LAVH)和子宫动脉栓塞术(UAE)对有症状、无生育要求的子宫肌瘤患者术后的生存质量影响。方法选择2000年12月至2003年12月中日友好医院和海淀医院妇科住院有症状、无生育要求的子宫肌瘤患者56例,随机选择治疗方案。各组患者皆于入院时、术后2月、术后2年进行问卷调查,独立填写WHOQOL-BREF表。比较不同治疗方式在术后不同时间的生存质量评分。结果在生理、心理、社会关系、环境和主观感受4个方面,两组术后都有显著改善。但是,LAVH组在术后2年生存质量才显现显著的差异。UAE组则在术后2月即有了显著改变。结论两组都明显地提高了患者术后的生存质量,在远期效应中无明显差异(除了心理层面),UAE组在提高患者生存质量上有明显的优势。Objective：To evaluate the quality of life （QOL） after laparoscopically assisted vaginal hysterectomy （LAVH） and uterine arterial embolization （UAE） in patients with symptomie leiomyoma. Methods：Fifty six women who had symptomatic uterine fibroids and no desire for fertility were randomly divided into 2 groups treated with LAVH or UAE. The authors estimated the patients＇outcomes at follow-up office visits with questionnaires and compared their QOL at 2 and 24 months postoperation with the QOL of preoperative. Results： There were significant differences in the domains of physical health, psychological, social relationships and subjective perception between preoperative and postoperative in both groups. The scores of QOL were increased until 2 years postoperation in LAVH group while only 2 months in UAE group . Conclusion：Both IAVH and UAE will improve the QOL. There are no significant differences between them in all the domains except long-term in enhancing the quality of life. psychological ones. UAE has great advantage

关 键 词：子宫切除术 阴道式 腹腔镜外科手术 子宫动脉栓塞术 生活质量 

分 类 号：R737.33[医药卫生—肿瘤]