子宫全切与次全切除术对子宫肌瘤患者性功能影响的对比研究

Impact of hysterectomy and subtotal hysterectomy on the sexual function of women with uterine fibroids

目的:分析子宫全切与次全切除术对子宫肌瘤妇女性功能的影响。方法:选取我院2011年10月到2013年10月收治的100例子宫肌瘤患者,其中48例肿瘤直径≥5cm的患者行子宫全切术(观察组),52例肿瘤直径<5cm的患者行次全切除术(对照组),给予两组患者护理干预,选用国际女性性功能评估量表问卷调查性生活评分,对比两组患者术前3个月及术后6个月时性生活评分情况。结果:两组患者术前3个月性生活频率、性欲、性高潮等评分差异无显著(P>0.05);对照组患者术后6个月性生活频率、性欲、性高潮等评分高于观察组,但差异无显著(P>0.05)。结论:子宫肌瘤患者行子宫全切或者次全切除术后一定时间内,患者性生活频率、性欲、性高潮等情况将受到一定影响,但两组患者术后性生活质量无明显差异,子宫全切患者性生活恢复时间可能因术中损伤而出现略慢的情况。

Objectives： To analyze the impact of hysterectomy and subtotal hysterectomy on the sexual life of women with uterine fibroids. Methods： 100 patients with uterine fibroids in our hospital in October 2011 to October 2013 were chosen and divided into two groups, including 48 patients with tumor diameter ≥ 5cm undergoing hysterectomy （study group） and 52 patients with tumor diameter 〈 5cm undergoing subtotal resection （control group）. Patients were given postoperative nursing intervention and their sexual life quality 3 months before and 6 months after the operation were measured and compared through International Female Sexual Function Assessment Scale. Results： Frequency of sexual activity, sexual desire, orgasm and other ratings of the two groups three months before surgery were not significantly different （ P 〈 0. 05 ） , while those of the control group were higher than the study group six months after the surgery, without significant difference （P 〉 0.05）. Conclusion： Within a certain period of time after hysterectomy or subtotal resection, the frequency of sexual activity, sexual desire and orgasm of patients will be affected, with no significant difference in the quality of life between the two groups. The recovery of patients receiving hysterectomy may be slightly longer due to intraoperative injury.