摘要
目的 :对子宫肌瘤患者手术后性心理障碍及相关因素进行探讨。方法 :对 12 8例子宫肌瘤患者收集病史资料 ,同时采用自制问卷对患者进行调查。结果 :6 1 7%的患者术后对性生活有明显的焦虑和抑郁心理 ,其中术时年龄 <5 0岁患者性心理异常发生率较高 ;阴道干燥、阴道变短、女性角色淡化、焦虑、疼痛等症在术后半年内发生率最高 ;术后性生活的恢复时间与年龄相关 ,年龄越轻 ,性生活恢复越快。性生活的恢复与心理治疗有密切的关系。结论 :进行心理治疗 ,促进性功能恢复是治疗子宫肌瘤术后病人的重要组成部分。
Objective:To study the psychosexual obstacles and related factors in the patients with myoma of uterus post hysterectomy.Methods:Data of 128 patients was collected and their answers to our self made qustionaire thered.Results:79 of 128 cases(61.7%)of uterine fibroids significantly get anxiety and depression about sexual intercourse. In this group,there was a high occurrence rate of psychosexual abnormality in those under the age of 50.There was a high occurrence rate of shortened vagina,apathetic female role anxiety, ache and so on within half a year post hysterectomy.The time of restored sexual intercourse was related to age;the smaller the age was,the earlier sexual intercourse was restored .The restoration of sexual intercourse was closely related to psychotherapy.Conclusion:To conduct psychotherapy and promote the recovery of sexual function was an important part of our treatment with patients with uterine fibroids post hysterectomy.
关键词
全子宫切除术
性心理障碍
子宫肌瘤
uterine neoplasms
hysterectomy
psychosexual disorders