不同术式对围绝经期女性子宫切除术后生活质量的影响

INFLUENCE ON QUALITY OF LIFE FOR PERIMENOPAUSAL WOMEN AFTER DIFFERENT OPERATIONS OF HYSTERECTOMY

目的探讨不同术式对围绝经期女性子宫切除术后生活质量的影响。方法将96例行子宫切除术的围绝经期女性分为A组(子宫切除术)(n=41)、B组(子宫+单侧卵巢切除术)(n=34)、C组(子宫切除术+双侧卵巢切除术)(n=21),术前和术后6个月检测三组的激素水平,并采用改良Kupperman指数和女性性功能指数(FSFI)量表评价三组术后的围绝经期症状和性功能状况。结果三组术前的激素水平、Kupperman和FSFI评分比较差异无统计学意义(P>0.05)。术后6个月,C组的FSH和LH水平高于A组和B组(P<0.05),E2水平低于A组和B组(P<0.05),而A组与B组比较差异无统计学意义(P>0.05),三组的Kupperman和FSFI评分比较差异有统计学意义(P<0.05)。结论围绝经期女性子宫切除时保留双侧或单侧卵巢有助于提高其生活质量。

Objective To study the influence on quality of life for perimenopausal women after different operations of hysterectomy.Methods Totally 96 perimenopausal women with hysterectomy were divided into group A（hysterectomy,n=41）,group B（uterus＋ unilateral oophorectomy,n=34）,group C（hysterectomy and bilateral oophorectomy,n=21）.Hormone levels of three groups was detected in preoperative and postoperative 6 months,and perimenopausal symptoms and sexual function of three groups were evaluated in postoperative 6 months by improved Kupperman index and female sexual function index（FSFI）scale.Results Hormone levels,Kupperman and FSFI score of three groups in preoperative had no statistical significance（P〉0.05）.Postoperative 6 months,FSH and LH levels of group C were higher than those of group A and group B（P〈0.05）,but E2 level was lower than those of group A and group B（P〈0.05）,while there was no statistically significant difference compared with group B group A（P〉0.05）.Kupperman and FSFI score of three groups were statistically significant（P〈0.05）.Conclusion Keep bilateral or unilateral ovarian in hysterectomy of perimenopausal women can help to improve the quality of life.