OBJECTIVE: To compare sexual functioning and health-related quality-of-li fe outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy ( SCH) among women with symptomatic uterine leiomyomata or abn...OBJECTIVE: To compare sexual functioning and health-related quality-of-li fe outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy ( SCH) among women with symptomatic uterine leiomyomata or abnormal uterine bleedi ng refractory to hormonal management. METHODS: We randomly assigned 135 women sc heduled to undergo abdominal hysterectomy in 4 U.S. clinical centers to either a total or supracervical procedure. The primary outcome was sexual functioning at 2 years, as assessed by the Medical Outcomes Study Sexual Problems Scale. Secon dary outcomes included specific aspects of sexual functioning and health-relate d quality-of-life at 6 months and 2 years. RESULTS: Sexual problems improved d ramatically in both randomized groups during the first 6 months and plateaued by 1 year. Health-related quality-of-life scores also improved in both groups. At 2 years, both groups reported few problems with sexual functioning (mean scor e on the Sexual Problems Scale for SCH group 82, TAH group 80, on a 0-to-100 s cale with 100 indicating an absence of problems; difference = +2,95%confidence interval -8 to +11), and there were no significant differences between groups . CONCLUSION: Supracervical and total abdominal hysterectomy result in similar s exual functioning and health-related quality of life during 2 years of follow- up. This information can help guide physicians as they discuss surgical options with their patients.展开更多
文摘目的 分析阴式子宫切除联合阴道前后壁修补术对子宫脱垂患者术后性功能的影响。方法 选取治疗的子宫脱垂患者60例。按照分层抽样法分为对照组和研究组各30例。对照组给予阴道前后壁修补术治疗,研究组在对照组基础上使用阴式子宫切除治疗。比较两组手术指标、性功能评分(Sexual function score,PISQ-12)、生活质量(Quality of life,QOL)、治疗有效率及并发症。结果 研究组术中出血量少于对照组、手术时间及住院时间短于对照组(P<0.05);治疗后研究组性功能评分高于对照组(P<0.05);治疗后研究组情感因素、生理因素及性伴侣因素评分高于对照组(P<0.05);对照组治疗总有效率低于研究组(P<0.05);研究组并发症总发生率低于对照组(P<0.05)。结论 阴式子宫切除联合阴道前后壁修补术治疗子宫脱垂,可提升患者术后性生活质量同时不良反应较少。
文摘OBJECTIVE: To compare sexual functioning and health-related quality-of-li fe outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy ( SCH) among women with symptomatic uterine leiomyomata or abnormal uterine bleedi ng refractory to hormonal management. METHODS: We randomly assigned 135 women sc heduled to undergo abdominal hysterectomy in 4 U.S. clinical centers to either a total or supracervical procedure. The primary outcome was sexual functioning at 2 years, as assessed by the Medical Outcomes Study Sexual Problems Scale. Secon dary outcomes included specific aspects of sexual functioning and health-relate d quality-of-life at 6 months and 2 years. RESULTS: Sexual problems improved d ramatically in both randomized groups during the first 6 months and plateaued by 1 year. Health-related quality-of-life scores also improved in both groups. At 2 years, both groups reported few problems with sexual functioning (mean scor e on the Sexual Problems Scale for SCH group 82, TAH group 80, on a 0-to-100 s cale with 100 indicating an absence of problems; difference = +2,95%confidence interval -8 to +11), and there were no significant differences between groups . CONCLUSION: Supracervical and total abdominal hysterectomy result in similar s exual functioning and health-related quality of life during 2 years of follow- up. This information can help guide physicians as they discuss surgical options with their patients.
