摘要
目的探讨三种不同手术方式对子宫肌瘤患者性生活质量和激素水平的影响。方法将90例患者按子宫肌瘤手术方式的不同分为A组(子宫全切除术组)、B组(子宫次全切除术组)、C组(阴式子宫切除术组),每组30例。对比分析三组患者术后的性生活质量改善情况及性激素水平。结果术后1个月后,三组患者的BISF-W的评分较术前均有所增加。B组、C组患者的BISF-W的评分较术前有明显的增加(P<0.05),但A组患者的BISF-W的评分较术前无显著差异(P>0.05),BISF-W的评分依次为C组>B组>A组。术后1个月后,三组患者的性激素水平较术前均有显著性差异(P<0.05),变化程度依次为A组>B组>C组。结论不同手术方式对子宫肌瘤患者的性生活质量存在差异,患者的性生活质量与体内性激素的分泌有关。阴式子宫切除术对患者的性生活质量及性激素水平的影响最小,值得临床广泛推广。
Objective To evaluate the effects of different operation methods on the sexual life quality and hormone levels of patients with uterine fibroid. Methods Collected 90 cases of uterine fibroid were randomly divided into three groups, 30patients one group. A group was treated with total hysterectomy, B group was treated with subtotal hysterec- tomy, C group was treated with vaginal hysterectomy. Contrasted and analyzed the Sexual Life Quality and Hormone Levels of the three groups. Results After treatment, BISF-W scores of the three groups were increased. BISF-W scores of B group and C group were significantly increased ,with（P 〈 0.05）.but BISF-W score of A group was no significant- ly increased ,with （P 〉 0.05）. BISF-W scores were C group〉B group〉A group. Hormone levels of the three groups in one month after operation were significant difference ,with （P 〈 0.05）.The change degree were A group〉B group〉C group. Conclusion The sexual life quality is different in patients with uterine fibroid after different operations,BIST grade is related with the change of sex hormone level. Vaginal hysterectomy has minimum effect on the sexual life quality of patients with uterine fibroid, is worth clinical widely.
出处
《中国现代医生》
2013年第5期60-61,64,共3页
China Modern Doctor
