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子宫切除术对女性盆底功能及性功能的影响研究 被引量:5

Hysterectomy effect on female pelvic floor function and sexual function
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摘要 [目的]探讨子宫全切与子宫次全切术对女性盆底功能及性功能的影响。[方法]通过对我院2016年2月至2017年2月行子宫切除术治疗的168例患者,根据其手术方式不同分成子宫全切术组96例;子宫次全切术组72例。术后6个月评估分析2组患者盆底和性功能情况。[结果]96例子宫全切术组术后发生盆底功能障碍率为43.75%;而72例子宫次全切组术后发生盆底功能障碍率为12.50%,从2组发生盆底功能障碍结果示,有显著性差异,具有统计学意义(P<0.05)。子宫全切组患者的基本性欲、性唤起、性高潮及性交疼痛的综合评分均高于子宫次全切组,结果显著性差异,有统计学意义(P<0.05)。[结论]子宫次全切术与子宫全切术相比较,子宫次全切术后发生盆底功能障碍及性功能障碍的几率显著降低。 [Objective]To explore the effect of total hysterectomy and hysterectomy on pelvic floor function and sexual function of women. [Methods]In the 168 patients treated with hysterectomy in our hospital from February 2016 to February 2017, the surgical methods were divided into 96 patients with total hysterectomy.There were 72 eases of subtotal hysterectomy.The pelvic floor function and function of the two groups were evaluated in 6 months after surgery. [ Results ] The rate of pelvic floor dysfunction was 43.75% after total hysterectomy in 96 patients. In the 72 cases, the pelvic floor dysfunction rate was 12.50% after operation, and the results showed that there was significant difference between the two groups, with statistically significant difference ( P 〈 0.05). The overall score of the patients in the total hysterectomy group was higher than that of the subtotal hysterectomy group, and the results were statistically significant (P 〈 0.05). [Conclusion] In comparison with total hysterectomy, the incidence of pelvic floor dysfunction and sexual dysfunction was significantly reduced after subtotal hysterectomy.
作者 胡付姣 HU Fujiao(Department of Maternity Care Division of Kaifeng Obstetrie and Gyneeology Hospital, Kaifeng 475000, China)
出处 《河南大学学报(医学版)》 CAS 2018年第2期133-136,共4页 Journal of Henan University:Medical Science
关键词 子宫全切术 子宫次全切术 盆底功能 性功能 Total hysterectomy Subtotal hysterectomy Pelvic floor function Sexual function
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