子宫肌瘤患者对治疗的认知调查与诊治分析

The cognition investigation and therapeutic analysis of patients with hesteromyomas

目的 了解子宫肌瘤要求手术治疗患者对保留子宫手术方式的认知情况和要求,有利于开展子宫肌瘤手术方式的知情选择。探讨子宫肌瘤治疗方式的选择和疗效评价。方法 采用问卷调查和统计分析相结合的方法,了解子宫肌瘤患者对不同手术方式的认知情况,统计分析不同手术方式的百分比。对我院 184 例子宫肌瘤患者的临床症状和治疗情况进行统计分析。结果 子宫肌瘤患者对手术方式的优缺点和需要的手术方式有自己的看法,其知识来源是多渠道的。要求手术治疗的患者当中,约50 %要求保留子宫。184例子宫肌瘤患者中,伴有子宫肌瘤相关症状的有 164 例,占 89.13 %。无临床症状 20 例,占 10.87%。手术治疗160例,占治疗患者的86.95%。行子宫肌瘤切除术的 77 例, 占手术治疗患者的 48.50%。药物治疗 24 例, 有效率为41.66%。术后随访78例,症状消失或好转的70例,占89.74 %;无好转的 8 例,占手术治疗的 10.26 %。结论 对子宫肌瘤患者开展多方面的手术方式的知识咨询,与患者一起确定手术方式,将有利于子宫肌瘤患者的身心健康。子宫肌瘤患者的治疗方式多种多样,选择对患者最合适的治疗方式才能够收到较好的治疗效果。适合手术的患者,单纯手术不能够完全消除患者的症状,需要综合治疗才能够达到治愈目的。

Objective To comprehend the cognition and want of hysteromyoma patients for operation mode and to investigate therapeutic methods and result of hesteromyomas.Methods By questionnaire and statistics, we comprehend the cognition of hysteromyoma patients for operation mode. The clinical data and operative mode of 184 patients with uterine hesteromyomas were analyzed.Results Most of patients have their own standpoints for operation mod, and their sources are multiple. In 184 cases,164 cases had clinical symptoms (89.13%);20 cases did not have clinical symptoms (10.87%). The clinical symptoms did not have definite direct relationship with the shape of myomas.One hundred and sixty cases accepted surgical therapy, which were 86.95 % of the whole patients.Seventy-seven cases were made myomectomy, which were 48.50% of the patients by operation.Twenty-four cases accepted drug therapy, utility rate of which was 41.66%.Seventy-eight cases were examined after operation, 10.26% of which still had symptoms as before operation.Conclusion To carry out counseling about operation knowledge and to definite operation mod with hysteromyoma patients may be advantageous to physical and mental health. The therapeutic methods of uterine myomas were diverse, most of which may have good result. Some of symptoms in surgically treated patients did not disappeared after operation, and they need other therapy.