不同手术方式对子宫腺肌病患者术后生存质量的影响

Effect of different surgical modes on surviving quality of adenomyosis patients after operation

目的:探讨不同手术方式对子宫腺肌病患者术后生存质量的影响。方法:采用女性性功能调查表、Olson婚姻质量调查问卷及诺丁汉健康量表对子宫肌瘤接受手术治疗的120例患者进行性功能、婚姻质量及生活质量的评估。结果:所有患者术后卵巢功能正常;全子宫切除组术后性功能、婚姻质量及生活质量均较术前降低;次全子宫切除组术后婚姻质量及生活质量较术前改善,性功能无明显改变;子宫腺肌瘤挖除组和血管介入治疗组术后性功能、婚姻质量及生活质量明显优于术前。结论:不同手术方式对子宫腺肌病患者术后卵巢功能无影响,但对术后患者性功能、婚姻质量和生活质量有不同的影响。

Objective： To explore the effect of different surgical modes on surviving quality of adenomyosis patients after operation. Methods： The sexual function, marital quality and life quality of 120 patients with adenomyosis were evaluated by questionnaires. Results： After operation, the ovarian functions were normal, the sexual function, marital quality and life quality in total hysterectomy group reduced, while the marital quality and life quality in partial hysterectomy group improved, but there was no difference in sexual function before and after operation; the sexual function, marital quality and life quality in myomectomy group and blood vessel intervention group were better than those before operation. Conclusion： Different surgical modes have no influence on ovarian function, but have different influence on the sexual function, marital quality and life quality in patients with adenomyosis.