三种术式对子宫肌瘤患者术后性生活质量的影响

Influence of three operative methods on postoperative sexual life quality of patients with uterine fibroids

目的:比较用子宫肌瘤剔除术、子宫次全切除术与子宫全切术对子宫肌瘤患者进行治疗对其术后性生活质量的影响。方法:选取在河北廊坊爱德堡医院进行手术治疗的128例子宫肌瘤患者作为研究对象,按照手术方法的不同将其分为子宫肌瘤剔除术组(LM组)、子宫次全切除术组(SH组)与子宫全切术组(TH组)。分别采用子宫肌瘤剔除术、子宫次全切除术与子宫全切术对LM组患者、SH组患者与TH组患者进行治疗,然后比较三组患者的各项指标。结果:术前及术后,三组患者中性生活的频率≤1次/月、为2~5次/月及>5次/月的患者所占的比例相比,P>0.05。术后,LM组患者与SH组患者对性生活质量的总满意率均高于TH组患者,P<0.05。术后,LM组患者与SH组患者对性生活质量的总满意率相比,P>0.05。结论:与对子宫肌瘤患者进行子宫肌瘤剔除术或子宫次全切除术相比,对其进行子宫全切术会影响其术后性生活的质量。

Objective:To compare the effects of hysteromyomectomy,subtotal hysterectomy and total hysterectomy on postoperative sexual quality of patients with uterine fibroids.Methods:a total of 128 patients with uterine fibroids who had been operated on in Edberg Hospital,Langfeng city,Hebei province in recent years were selected as the research objects.According to different surgical methods,they were divided into the hysteromyomectomy group(LM group,n=58),subtotal hysterectomy group(SH group,n=40)and total hysterectomy group(TH group,n=30).Patients in LM group,SH group and TH group were treated by hysteromyomectomy,subtotal hysterectomy and total hysterectomy,respectively.Then,frequency of sexual life before and after operation and satisfaction with sexual life quality of patients in the three groups were compared.Results:before and after surgery,the proportion of patients with frequency of sexual life≤1 time/month,2~5 times/month and>5 times/month in the three groups was compared,P>0.05.After surgery,the overall satisfaction rates of LM group and SH group were higher than TH group(P<0.05).After surgery,compared with the total satisfaction rate of LM group and SH group,P>.05.Conclusion:compared with hysteromyomectomy or subtotal hysterectomy,total hysterectomy may affect the quality of postoperative sexual life.