比较子宫切除术式对生活质量的影响  

Comparison of influences of different operation methods of hysterectomy on sexual function and quality of life of patients with hysteromyomas

作　　者：冀振芬 陈锦云[2] 李志红 杨军英[3] 

机构地区：[1]山西太原航空仪表公司医院,山西太原030006 [2]重庆医科大学医学超声工程研究所,重庆400016 [3]山西省人民医院,山西太原030006

出　　处：《中国妇幼健康研究》2008年第1期30-32,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的比较子宫全切除术和次全切除术对有症状子宫肌瘤妇女性功能及相关健康质量的影响。方法随机选择山西太原航空仪表公司医院收治的有症状子宫肌瘤患者115例，分为全子宫切除术组（65例）和次全子宫切除术组（50例），治疗后3个月、6个月、12个月、24个月随访患者，并采用女性性功能评估量表及子宫肌瘤相关生活质量问卷调查两种术式对生活质量的影响。结果术后3个月，两组女性性功能及健康质量相关分值均有明显改善，两组间比较无显著性差异（性功能比较：F=1．864，t=0．382，P〉0．05；生活质量比较：F=1．645，t=-1．438，P〉0．05）。术后3～24个月，两组女性性功能及健康质量相关分值变化不明显，两组间比较无显著性差异（性功能比较：F：0．003，t=-1．057，P〉0．05；生活质量比较：F=1．858，t=0．480，P〉0．05）。结论子宫全切除术和子宫次全切除术对性功能及相关健康质量的影响在两年内结果类似，长期的影响有待进一步观察。Objective To compare influences of different operation methods of hysterectomy on sexual function and health-related quality of life of patients with symptomatic hysteromyoma, Methods 115 women with symptomatic hysteromyomas admitted to and treated in The Staff＇ s Hospital of Air-Flight Apparatus Ltd. of Taiyuan City, Shanxi Province were selected and randomly divided into total hysterectomy group （n =65 ） and subtotal supracervical hysterectomy group （n = 50）. The primary outcomes were sexual function and guality of life of the patient. All the patients were followed up at 3 months, 6 months, 12months and 24 months after hysterectomy. Brief Index of Sexual Function for Women（BISF-W） and hysteromyoma related quality of life questionnaire were used to assess and compare influences of the two operation methods on quality of life of the patients. Results At 3months after operation, the scores in female sexual function and health- related quality of life of the patients in the two groups were improved significantly and there were no significant differences between the two groups （ in sexual function ： F = 1,864, t = 0,382, P 〉 0.05 ; in health-related quality of life ： F = 1. 645, t = - 1. 438, P 〉 0.05 ）. In 3 ～ 24 months after operation, the changes in scores in sexual function and health-related quality of life of the patients in the two groups were not significant and there were no significant differences between the two groups （ in sexual function ： F = 0.003, t = - 1. 057, P 〉 0.05 ; in health-related quality of life ： F = 1. 858, t = 0.480, P 〉 0.05 ）. Conclusion The influences of total abdominal hysterectomy and subtotal supracervical hysterectomy on sexual function and health-related quality of life of the patients are similar within 2 years after operation. As to their long-term influences need to be observed further.

关 键 词：子宫肌瘤 子宫全切除术 子宫次全切除术 生活质量 性功能 

分 类 号：R713.42[医药卫生—妇产科学]