超声消融术与传统术式对子宫肌瘤患者性生活质量的影响

Effects of High-intensity Focused Ultrasound and Traditional Surgery on Sexual Life Quality in Patients with Uterine Hysteromyomas

目的:研究超声消融术与传统术式对子宫肌瘤患者性生活质量影响的差异。方法:按自愿分组的原则,将163例子宫肌瘤患者分为超声消融组49例、子宫全切组56例和肌瘤挖出组58例,调查各组在术前1个月、术后1个月、术后6个月和术后12个月的性生活质量指数,然后用女性性功能简明指数法分析各组性功能受到的影响。结果:术后1个月性生活质量超声消融组明显高于传统方式组;术后6个月超声消融组性生活质量和肌瘤挖出组无明显差异,但高于子宫全切除组;术后12个月各组性生活质量差异无统计学意义。结论:超声消融术法治疗子宫肌瘤能快速恢复患者性生活,性生活质量优于传统手术法。

OBJECTIVE： To study the difference in the effect of high-intensity focused ultrasound vs. traditional surgery on sexual life quality in patients with uterine hysteromyomas. METHODS： A total of 163 patients with uterine hysteromyomas were divided into three groups according to the voluntarism principle： 49 patients in high-intensity focused ultrasound group, 56 patients in hysterectomy group and 58 patients in myomectomy group. All the patients were investigated in term of sex quality index 1 month before operation and 1, 6, 12 months after operation. RESULTS：Female sexual function in high-intensity focused ultrasound group was significantly higher than in traditional surgery group 1 month after operation. There was no significant difference in sexual life quality between high-intensity focused ultrasound group and myomectomy group 6 months after treatment, but it was higher than that of hysterectomy group; there was no significant difference among all the groups 12 months after treatment. CONCLUSION： High-intensity focused ultrasound for uterine hysteromyomas can resume sexual life in a short term, and the sexual life quality of patient treated with high-intensity focused ultrasound is significantly higher than those treated with traditional surgery.