全子宫切除患者术后性生活质量与手术方式相关性的调整  

Observation of the patients' sexual life quality after complete hysterectomy

作　　者：汤玲[1] 张丽[1] 林爱敏[1] 盛修贵[2] 

机构地区：[1]济宁医学院附属医院妇产科,山东济宁272029 [2]山东省肿瘤医院妇科,山东济南250117

出　　处：《中华肿瘤防治杂志》2008年第11期855-857,共3页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的：了解全子宫切除患者术后各种不同类型性生活质量问题的发生率，以及手术方式与全子宫切除患者术后性生活质量的关系。方法：采用横断面研究方法，对手术治疗的300倒全子宫切除患者的住院记录和手术后6个月内的性生活资料进行分析。结果：90．07％患者手术后6个月内恢复性生活。其中手术后3个月，存在性交疼痛、阴道干涩等性生活质量问题的患者占66．75％，手术后6个月时，降至33．27％，但未恢复到手术前（6．1％）的水平。手术方式与患者术后3～6个月内的性生活满意率、性生活中女方主动率、性欲水平、性交疼痛的发生率等无明显相关性。结论：全子宫切除患者术后性生活质量问题非常普遍，缺乏专业人员提供的咨询与治疗，术后3～6个月内的性生活质量与手术方式无关。OBJECTIVE： To study sexual life quality for pa dents with complete hysterectomy and the relationship between surgery method and sexual life question. METHODS： There were 300 patients who accepted complete hysterectomy, we had analysised their registration in hospital and sexual life in the following 6 months after surgery by cross section analysis method. RESULTS： 90.07% patients＇ sexual life recovered in 6 months. Among them, 66.75% patients had dyspareunia and vagina xeransis in the following 3 months, and 33.27% 6 months later, but the incidence rate didn＇t return to pre-operation level （6. 1%）. There was no significant relationship among sexual life gratification, female initia tive in sexual life, eroticism level and dyspareunia incidence in the following 3- 6 months after surgery with operation methods. CONCLUSIONS： It is general that the patients＇ sexual life quality is influenced after complete hysterectomy and they are lack of acknowledge and treatment. There is no relationship between sexual life quality in 3--6 months after surgery and operation method.

关 键 词：子宫肿瘤/外科学 子宫切除术/方法 生活质量 性行为 

分 类 号：R713[医药卫生—妇产科学]