不同手术方法对子宫肌瘤患者卵巢功能及性功能的影响

Effect of different surgical methods on uterine fibroids function and sexual function in patients with myoma of uterus

目的探讨子宫全切术和子宫肌瘤剔除术对子宫肌瘤患者卵巢功能及性功能影响。方法选取60例子宫肌瘤患者,采取随机数字表法分为子宫全切术组和子宫肌瘤剔除术组,每组30例。对比两组患者术前1周和术后3个月雌二醇水平、黄体生成素水平、卵泡刺激素水平、性欲方面、性心理方面、性行为中异常症状方面的变化。结果子宫全切术组术前1周和术后3个月的雌二醇、黄体生成素、卵泡刺激素水平与子宫剔除术组相比,差异均有统计学意义(P<0.05)。子宫全切术组术前1周和术后3个月的性欲方面、性心理方面、性行为中异常症状方面的国际女性性功能评估量表(BISF-W)值与子宫剔除术组相比,差异有统计学意义(P<0.05)。结论采用子宫肌瘤剔除术治疗子宫肌瘤对卵巢功能及性功能的影响较小,可以作为一种理想方法应用于临床工作中。

Objective To explore the effect of different surgical methods on uterine fibroids func- tion and sexual function in patients with myoma of uterus. Methods A total of 60 patients with myoma of uterus were selected and randomly divided into hysterectomy group and myomectomy group, and each group has 30 cases. The levels of estradiol, luteinizing hormone and follicle stimulating hormone, sexuality, sexu- al psychology, sexual behavior symptoms at one week before surgery and three months after surgery of two groups were compared. Results The levels of estradiol, luteinizing hormone and follicle stimulating hor- mone at one week before surgery and three months after surgery between two groups had significant differ- ence （ P 〈 0.05 ）. Sexuality, sexual psychology, sexual behavior symptoms at one week before surgery and three months after surgery of two groups had significant difference （ P 〈 0.05 ）. Conclusions Myomectomy fibroid treatment has little effect on ovarian function and sexual function, and has many advantages. It can serve as an ideal method for clinical work.