摘要
目的探讨不同手术方式对子宫肌瘤患者性生活质量的影响。方法80例子宫肌瘤患者按不同的手术方式随机分为四组：子宫全切术（TH）组20例、筋膜内子宫切除（IH）组20例、子宫次全切除术（STH）组20例及阴式子宫切除（VH）组20例，对所有患者分别于术前和术后1个月、3个月时随访，检测雌二醇（E2）、促卵泡激素（FSH）、黄体生成素（LH）的水平，并采用女性性功能评估量表（BISF—W）调查患者的性生活质量。结果（1）TH组、IH组、STH组及VH组各组患者的BISF—W加权评分分别为（166±20）分、（178±35）分、（176±33）分和（180±43）分，分别高于同组术前的加权评分值[分别为（163±22）分、（166±40）分、（162±35）分和（163±30）分]，差异均有统计学意义（P〈0．05）；TH组的BISF．W评分明显低于IH组、STH组和VH组（P〈0．05）。（2）各组患者术后1个月时激素E2、TSH、LH水平均较手术前明显降低（P〈0．05），术后3个月时激素恢复到手术前水平。结论不同手术后子宫肌瘤患者的性生活质量不同，其BISF—W评分与患者体内性激素水平变化有关。
Objective To explore the effects and mechanism of different surgical operation methods on the sexual life quality of patients with uterine fibroid. Methods 80 cases in uterine fibroid were randomly divided into four groups： talhysterectomy （TH） group （ n = 20 ）, intrafascial hysterectomy （IH） group （ n = 20 ）, subtotalhys- terectomy（STH） group（ n = 20） and vaginalhysterectomy（VH） group（ n = 20）. In the follow-up of one month and three months after operation, the levels of estradiol （ E2 ）, follicle stmiulating hormone （ FSH ）, luteinizing hormone （LH） were detected,the sexual life quality of the patients with uterine fibroid. Results （1）The scores of BISF-W in to TH group, IH group, STH group, and VH group were （166 ± 20）, （178 ± 35 ）, （176 ± 33 ） and （180 ± 43） re- spectively,which were higher than （163 ± 22）, （166 ± 40）, （162 ± 35） and （163 ± 30）in the same group before the operation, there were significant difference（P 〈0.05） ;BISF-W scores in TH group were obviously lower than those in IH group, STH group and VH group（ P 〈0.05）. （2）The levels of E2, TSH and LH in one month after operation were obviously lower than those before operation（ P 〈0.05）. In the third month after operation, hormone level re- covered to that before operation. Conclusion The sexual life quality is different in patients with uterine fibroid after different operations. The grade of brief index of sexual function for women（BISF-W） is related with the change of sex hormone level.
出处
《中国基层医药》
CAS
2008年第5期756-757,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
子宫切除术
肌瘤
性腺甾类激素
生活质量
性行为
Hysterectomy
Myoma
Gonadal steroid hormones
Quality of life
Sexual behavior
