子宫切除术式对女性性功能的影响分析  

The Effect of Different Types of Hysterectomy on Sexual Functions

作　　者：丁丽珠[1] 杨慧琳[1] 张焱[1] 

机构地区：[1]上海市浦东新区妇幼保健院,上海201206

出　　处：《中国临床医学》2008年第4期532-533,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:对不同子宫切除术患者进行随访研究,观察手术后对性功能的影响。方法:选择不同子宫切除患者60例,包括腹式全子宫切除,腹腔镜下阴式全子宫切除及次全子宫切除,进行术前及术后6个月性生活评估,性生活包括性欲、性高潮、性频率、阴道干燥及性满足。结果:失访8例(13.3%),可随访52例(86.7%)。随访患者中,性生活不改变占80.7%(38/52),性生活提高占11.5%(6/52),性生活减弱占7.7%(4/52)。性生活减弱的4例中,2例为子宫腺肌症,2例为子宫肌瘤;性生活增强的6例均为子宫腺肌症,术前有痛经及性交痛病史,不同手术方式影响不大。结论:子宫切除术对性功能影响不大。不同手术方式无明显差别,手术后性功能影响可能与患者术前症状和性生活状态有关,子宫腺肌症有痛经史,性交痛者手术后更有益于改善性生活,提高生活质量。Objective：To evaluate the effect of different types of hysterectomy on sexual functions. Methods：This was an prospective clinical study. Sixty women who have been received different types of hysterectomy of total abdominal hysterectomy （TAH）, subtotal abdominal hysterectomy（SAH） or laparoscopic vaginal hysterectomy（LAVH） were enrolled in this study. All the eligible patients were followed up for six months, libido, orgasm, sexual frequency, sexual satisfaction and dyspareunia before and 6 months after hysterectomy were compared. Results： During the follow-up period, 8（13.3%） patients were lost. 52（86.7%） patients were successfully followed up for at least 6 months. Among the successful followed patients, 38（80.7%） of them had no change in sexual functioning, while 6（11.5%） patients with their sexual functioning improved, and 4（7.7%） patients＇ sexual function decreased. Of the sexual function decreased patients, 2 were adenomosis and 2 were myoma, however, in 6 patients with improved sexual functioning, all of them were adenomosis with pelvic pain and dyspareunia prehysterectomy. Conclusion：The different types of hysterectomy could not effect on female sexual function. The sexual dysfunction after hysterectomy could be associated with symptoms and sexual activity prehystercetomy. Adenomosis with pelvic pain and dyspa reunia may improve their sex functions after hysterectomy.

关 键 词：子宫切除术 女性性功能 

分 类 号：R713.4[医药卫生—妇产科学]