148例子宫全切除术后患者性生活质量的随访研究

Sexual life quality after total hysterectomy:a follow-up of 148 patients

目的：探讨子宫全切除术后患者性生活质量状况。方法：选取2005年1月至2006年12月于我院因妇科良性疾病行全子宫切除术的148例患者进行随访调查，包括妇科检查及性生活质量问卷调查。结果：148例患者为子宫全切术后6～7年，其中111例术后仍有性生活，其性生活质量问卷总分平均为（128．7±19．2）分；性生活质量问卷总分与患者的经济收入水平呈正相关（r=0．413，P〈0．05），而与患者的年龄、学历、婚龄及阴道长度无明显相关性（P〉0．05）。结论：子宫全切术对患者性生活质量可能存在影响，患者性生活质量和经济收入呈正相关，经济收入水平较高者性生活质量较高。

Objectives： To explore patients＇ sexual life quality after total hysterectomy. Method： 148 patients whose oper ations were completed from January 2005 to December 2006 in our hospital were randomly chosen and were followed up. They were given pelvic examination and surveyed with female sexual quality questionnaire. Results： 6 - 7 years after total hysterecto my, 111 out of 148 patients still have sexual life. Their female sexual quality questionnaire showed the average score were 128.7±19. 2 and the sexual quality score was positively correlated with the patients＇ income （r = 0. 413, P =0. 012）. There was no significant correlation between patient＇ s age, education, marriage and vaginal length （ P 〉 0. 05）. Conclusion： Hysterectomy may have effect on female＇ s sexual life. Quality of sexual life of those patients was positively correlated with income.