不同手术途径子宫全切除术对女性性功能影响的对比分析

Effect of different hysterectomy surgeries on female sexual function

目的:分析并探讨不同手术途径子宫全切除术对女性性功能的影响。方法:选取在平原县第一人民医院和山东中医药大学附属医院接受治疗的子宫全切除患者240例,根据手术方式分为观察组与对照组,每组120例。观察组采用腹腔镜全子宫切除术进行治疗,对照组采用全子宫切除术进行治疗。观察两组患者卵巢功能情况和性功能评分,卵巢功能自评量表评分越高,说明卵巢功能越差;性功能评分采用FSFI量表进行评估,分值越高,提示性生活质量越高。结果:观察组50岁以下患者58例,卵巢功能评分为(7.46±4.24)分,总体性功能评分为(71.42±6.34)分;对照组50岁以下患者66例,卵巢功能评分为(7.43±4.65)分,总体性功能评分为(70.34±6.23)分。两组卵巢功能评分和总体性功能评分无显著差异(P>0.05)。观察组50岁以上患者62例,卵巢功能评分为(12.46±2.32)分,总体性功能评分为(67.34±5.32)分;对照组50岁以上患者54例,卵巢功能评分为(12.53±2.54)分,总体性功能评分为(61.57±5.26)分。两组卵巢功能评分无显著差异(P>0.05);观察组总体性功能评分明显高于对照组(P<0.05)。结论:不同手术途径对50岁以下女性性功能无显著影响,但腹腔镜全子宫切除术对50岁以上女性患者的性功能影响较小。

Objectives： To analyze and explore the effect of different uterine surgical resections on female sexual function. Methods： 240 hysterectomy patients treated in our hospitals were selected and divided into two groups according to the surgical resections,120 cases in each group. Observation group received laparoscopic hysterectomy for treatment,while the control group received total hysterectomy for treatment. The ovarian function and sexual function scores were observed in both groups and higher ovarian function checklist score indicated worse ovarian function. Sexual function score used FSFI scales for evaluation and higher score indicated higher quality of sex life. Results： There were 58 patients under 50 years of age in observation group,with ovarian function score of（ 7. 46 ± 4. 24） points and overall sexual function score of（ 71. 42 ± 6. 34） points. There were 66 patients under 50 years of age in control group,with ovarian function score of（ 7. 43 ± 4. 65） points and overall sexual function score of（ 70. 34 ± 6. 23） points. The ovarian function scores and overall sexual function scores were not significantly different between the two groups（ P〉0. 05）. There were 62 patients over 50 years of age in observation group,with ovarian function score of（ 12. 46 ± 2. 32） points and overall sexual function score of（ 67. 34 ± 5. 32） points. There were 54 patients over 50 years of age in control group,with ovarian function score of（ 12. 53 ± 2. 54） points and overall sexual function score of（ 61. 57 ± 5. 26） points. The ovarian function score was not significantly different between the two groups（ P〉0. 05）,while the overall sexual function score of observation group was significantly higher,with statistically significant difference（ P〈0. 05）. Conclusions： Different surgical resections have no significant effect on female sexual function under the age of 50,but macroscopic hysterectomy can relatively increase the sexual function of females over 50 years old.