对比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

Comparative analysis of the effect of total hysterectomy and subtotal hysterectomy on the sexual function of women with hysteromyoma

目的对比分析子宫全切术与次全切除术对子宫肌瘤妇女性功能的影响。方法选取2016年4月至2017年4月重庆市巴南区人民医院诊治的子宫肌瘤患者200例作为研究对象。结合患者病情及意愿分别实施子宫全切术与次全切除术治疗。其中,实施子宫全切术100例,设为子宫全切组;实施次全切除术100例,设为次全切组。观察两组患者的治疗前与治疗后6个月的性功能水平评分结果以及术后6个月生活满意度评分等实验数据。结果次全切组患者治疗前与治疗后6个月的性功能水平评估结果基本相当,各项指标结果未出现明显改变,差异无统计学意义(P>0.05);但治疗后6个月子宫全切组患者的性功能水平明显下降,各项指标评分结果均显著低于本组治疗前,并显著低于同一时期的次全切组患者,差异具有统计学意义(P<0.05)。治疗6个月后,次全切组患者的生活满意度评分显著高于子宫全切组,差异具有统计学意义(P<0.05)。结论与子宫全切治疗进行比较,对子宫肌瘤患者实施子宫次全切除术治疗可以更好的减轻对患者性功能的影响,提高患者的术后生活满意度。

Objective To comparae and analysis the effect of total hysterectomy and subtotal excision on the sexual function of women with hysteromyoma.Methods 200 patients with uterine leiomyoma from April 2016 to April 2017 in our hospital,with patients and will implement hysterectomy and subtotal resection,among them 100 cases of hysterectomy,a hysterectomy group,the implementation of subtotal resection in 100 cases,subtotal resection for group.The results of the level of sexual function before and 6 months after treatment and the life satisfaction score of 6 months after the operation were observed in the 2 groups.Results Subtotal group of patients before and after the treatment of the functional level of 6 months of evaluation results are basically the same,the results did not appear obvious change(P>0.05);but 6 months after the treatment of hysterectomy of functional level group were significantly decreased,the index score was significantly lower than that before the treatment,and significantly lower than the same period subtotal group(P<0.05).The life satisfaction score of the patients treated with 6 months total resection was significantly higher than that in the total hysterectomy group(P<0.05).Conclusions Subtotal hysterectomy for hysteromyoma patients can better reduce the impact of sexual function and uterine total resection treatment,improve postoperative life satisfaction of patients.