不同手术方式对子宫肌瘤患者生活质量的影响  

Different surgical methods on the quality of life in patients with uterine leiomyoma

作　　者：王箴言[1] 王昱洁[1] 赵淑萍[1] 吕映频[1] 

机构地区：[1]青岛大学医学院附属医院,山东青岛266003

出　　处：《实用临床医药杂志》2011年第17期58-61,共4页Journal of Clinical Medicine in Practice

摘　　要：目的研究不同手术方式对子宫肌瘤患者的影响。方法将多发性子宫肌瘤患者随机分为3组,A组行全子宫切术,B组行子宫肌瘤挖除术,C组行保留子宫动脉上行支的子宫切除术。评估手术对患者生活质量的影响。结果 A组更年期症状发生率明显高于B组、C组。B组复发率明显高于A组、C组。术后随访性生活质量,A组各指标均下降,B、C组各项指标均上升。A组睡眠、社会活动、情感反应方面较术前明显增高。术后随访激素水平变化,A组较术前差别有显著性。结论保留子宫动脉上行支的子宫部分切除术是无生育要求的多发性子宫肌瘤患者的最佳选择。Objective To research the influence of different surgery on patients of uterine leiomyomas.Methods The patients were divided into three groups： group A received hysterectomy,group B myomectomy and group C partial hysterectomy by retaining ascending branch of uterine artery.The surgical effect on postoperative life was assessed.Results Menopausal symptoms of group A were significantly higher than group B and group C.Recurrence rate of group B was significantly higher than group A and group C.Postoperative follow-up of quality of life,indicators of group A were down while group B and group C were up.Sleeping,social activities,emotional responses of group A were significantly higher than before.Postoperative follow-up hormone level changes,difference in group A was significant compared with the preoperative.Conclusion Partial hysterectomy by retaining ascending branch of uterine artery is the best choice for patients of uterine leiomyomas who has no fertility requirement.

关 键 词：子宫肌瘤 手术 生活质量 

分 类 号：R711.74[医药卫生—妇产科学]