不同方法治疗子宫肌瘤对患者性功能影响的临床研究

Effect of different treating methods for uterine fibroids on the sexual function of patients

目的：探讨子宫肌瘤患者使用不同手术方法治疗后对性功能的影响。方法：选取2011年7月至2013年12月期间，我科室收治的子宫肌瘤患者80例，按数学随机方法分为观察组和对照组，各40例，观察组年龄31～47岁，中位年龄（42.01±5.91）岁；对照组年龄31～45岁，中位年龄（41.37±6.21）岁。观察组40例子宫肌瘤患者实施子宫肌瘤剔除术，对照组40例患者实施全子宫切除并保留附件手术。术后对比两组患者性功能表现。结果：观察组和对照组患者术前性功能得分相近，对比差异无统计学意义（P＞0.05）。观察组术后6个月的调查结果显示，性欲方面得分为（170.21±31.29）分，性唤起得分为（164.91±41.28）分，性高潮得分为（172.81±29.38）分，性心理得分为（170.88±26.91）分，性行为中异常症状得分为（174.92±37.68）分，射精时间得分为（169.22±35.56）分，与术前差异明显，对比差异有统计学意义（P＜0.05）；且观察组患者性功能改善明显，得分优于对照组，两组对比差异有统计学意义（P＜0.05）。结论：子宫肌瘤患者实施子宫肌瘤剔除术可以在术后保持更好的性功能，利于患者保证性生活质量，值得临床推广应用。

To investigate the effect of different treating methods for uterine fibroids on the sex-ual function of patients.Methods：80 patients with uterine fibroids in our department from July 201 1 to December 2013 were randomly divided into observation group and the normal group randomly,each of 40 patients.Patients in the observation group were 31 -47 years old,with median age （42.01 ±5.91）years old;while patients in the normal group aged 31 -45 years old,with median age （41.37 ±6.21）years old.40 patients in the observation group were treated with laparoscopic myomectomy,while the 40 patients in the normal group received hysterectomy and retain attachment surgery.The sexual performance of the two groups was compared.Results：The sexual func-tion scores of the two groups were similar before treatment,without statistically significant difference （P〉0.05）.In the survey of observation group 6 months later,the libido score was 170.21 ±31.29,arousal score was 164.91 ± 41.28,orgasm score was 172.81 ±29.38,psychological score was 170.88 ±26.91,abnormal sexual symptom score was 174.92 ±37.68,ejaculation time score was 169.22 ±35.56,which was significantly different from that before treatment （P〈0.05）.Besides,improvement in the observation group was significantly better than the normal group,with statistical significance （P〈0.05 ）.Conclusion：Implementation of laparoscopic myomectomy for patients with uterine fibroids can maintain better sexual function after surgery,which will help ensure the life quality of patients,worthy of clinical application.