腹腔镜、经腹及经阴道子宫切除术对患者术后生活质量及性生活质量的影响比较  

Comparison on the Influence of Laparoscopic,Transabdominal and Transvaginal Hysterectomy for Postoperative Life Quality and Sexual Life Quality of Patients

作　　者：聂树霞[1] NIE Shuxia(People's Hospital of Xintai City,Xintai 271200,China)

机构地区：[1]新泰市人民医院,山东新泰271200

出　　处：《中外医学研究》2024年第28期1-5,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：泰安市医疗卫生类科技计划项目(TJ-2019H62)。

摘　　要：目的:探究及比较腹腔镜、经腹及经阴道子宫切除术对患者术后生活质量及性生活质量的影响。方法:将2022年6月—2023年6月新泰市人民医院收治的180例子宫切除术患者根据随机数表法分为A组、B组及C组,各60例。A组进行腹腔镜子宫切除术,B组进行经腹子宫切除术,C组则进行经阴道子宫切除术。比较三组的手术时间、出血量、排气时间、住院时间、并发症发生率,术前及术后3个月、6个月的生活质量[世界卫生组织生存质量简表(WHOQOL-BREF量表)]及性生活质量(女性性生活质量问卷)。结果:A组的手术时间显著长于B组及C组,A组及C组的出血量显著少于B组,排气时间及住院时间显著短于B组,差异有统计学意义(P<0.05)。三组并发症发生率比较,差异无统计学意义(P>0.05)。术前及术后6个月,三组WHOQOL-BREF量表评分及女性性生活质量问卷评分比较,差异无统计学意义(P>0.05);术后3个月,A组及C组的WHOQOL-BREF量表评分及女性性生活质量问卷评分显著高于B组,差异有统计学意义(P<0.05)。结论:腹腔镜及经阴道子宫切除术对患者术后生活质量及性生活质量的近期不良影响小于经腹子宫切除术,而远期不良影响无显著差异。Objective:To investigate and compare the influence of laparoscopic,transabdominal and transvaginal hysterectomy for postoperative life quality and sexual life quality of patients.Method:A total of 180 patients with hysterectomy in People's Hospital of Xintai City from June 2022 to June 2023 were divided into group A,group B and group C by the method of random number table,60 cases in each group.The group A were treated with laparoscopic hysterectomy,the group B were treated with transabdominal hysterectomy,the group C were treated with transvaginal hysterectomy.Then the operation time,blood loss,exhaust time,hospitalization time,complications rates,life quality[World Health Organization Quality of life brief(WHOQOL-BREF scale)]and sexual life quality(sexual life quality questionnaire for women)before operation and 3 months and 6 months after operation of three groups were compared.Result:The operation time of group A was significantly longer than those of group B and group C,the blood loss of group A and group C was significantly less than that of group B,the exhaust time and hospitalization time were significantly shorter than that of group B,the differences were statistically significant(P<0.05).The complications rates of three groups were compared,the differences were not statistically significant(P>0.05).The WHOQOL-BRE scale and sexual life quality questionnaire for women of three groups at before operation and 6 months after operation were compared,the differences were not statistically significant(P>0.05).The WHOQOL-BRE scale and sexual life quality questionnaire for women of group A and group C at 3 months after operation were significantly higher than those of group B,the differences were statistically significant(P<0.05).Conclusion:The short-term adverse influence of laparoscopic and transvaginal hysterectomy for postoperative life quality and sexual life quality of patients are smaller than those of transabdominal hysterectomy,while the differences of long-term adverse influence are not significant.

关 键 词：腹腔镜子宫切除术 经腹子宫切除术 经阴道子宫切除术 生活质量 性生活质量 

分 类 号：R713.42[医药卫生—妇产科学]