摘要
目的对比研究不同方式子宫切除术治疗子宫肌瘤的疗效及对性功能的有效。方法于2014年9月—2017年9月从该院收治的子宫肌瘤患者中选取260例作为该次研究的观察对象,将患者按照入院单双号分组为研究组与对照组各130例,研究组患者接受腹腔镜子宫次全切除术治疗子宫肌瘤,对照组患者则接受腹腔镜子宫全切除术治疗子宫肌瘤,对两组患者的治疗效果进行对比,并利用各项评分指标对比两种术式对患者性功能的影响。结果对比两组各项手术数据与术后恢复数据,研究组手术时间(106.3±12.5)min、出血量(105.3±30.7)mL、排气时间(15.2±0.5)h、镇痛时间(6.3±1.2)d、住院时间(5.8±2.4)d都比对照组显著更少(P<0.05);术前对两组患者的性功能各项指标(性欲、性唤起及性高潮)进行评分,未发现明显差异;术后3个月时复查发现研究组性欲、性唤起及性高潮评分分别为(129.5±19.7)分、(128.9±20.3)分、(129.3±20.5)分,与对照组比较均显著优于对照组(P<0.05);术后6个月复查时发现以上指标小幅上升,但与对照组比较,差异无统计学意义(P>0.05)。结论子宫次全切除术的治疗效果明显优于子宫全切除术,且对患者性功能的影响更小,可以作为优先选择的手术方式。
Objective This paper tries to compare the efficacy of different methods of hysterectomy in the treatment of uterine fibroids and its effect on sexual function. Methods From September 2014 to September 2017, 260 cases of uterine leiomyoma admitted from the hospital were selected as the observation object of this study. The patients were divided into study group and control group according to admission single and double numbers, 130 cases in each group, The study group received laparoscopic subtotal hysterectomy for the treatment of uterine fibroids, while the control group received laparoscopic hysterectomy for the treatment of uterine fibroids. The curative effect of two groups of patients were compared, and used the various indicators to compare the two types of surgical patients with sexual function. Results Compared the two groups of various surgical data and postoperative recovery data, the operative time（106.3±12.5） min,the amount of bleeding（105.3±30.7）mL, the exhaust time（15.2±0.5）h and the analgesic time（6.3±1.2） d, and hospital stay（5.8±2.4）d, were significantly less than that the control group（P〈0.05）; Before surgery, the two groups of patients with sexual function indicators（libido, sexual arousal and orgasm） were scored, and did not find significant differences.At 3 months after operation, the scores of sexual desire, sexual arousal and orgasm in the study group were（129.5 ±19.7）points,（128.9±20.3）points and（129.3±20.5）points, respectively, which were significantly higher than those in the control group（P〈0.05）. The above indexes increased slightly at 6 months after operation, but there was no significant difference between the two groups（P〉0.05）. Conclusion Subtotal hysterectomy treatment was significantly better than hysterectomy, and the impact on patients with less sexual function, can be used as the preferred surgical approach.
作者
金明杨
JIN Ming-yang(Gynecology Department,Youjiang National Medical College Hospital,Baise,Guangxi,533000 Chin)
出处
《系统医学》
2018年第3期96-97,100,共3页
Systems Medicine
