子宫肌瘤全子宫切除术后性生活质量调查研究

发布时间：2018-05-24 02:40

本文选题：全子宫切除术 + 性生活质量　；参考：《中国实用妇科与产科杂志》2017年03期

【摘要】：目的探讨子宫肌瘤患者行全子宫切除术对性生活的影响。方法选取2014-01-01—2016-08-01因子宫肌瘤在北京协和医院行全子宫双输卵管切除术的绝经前患者50例(手术组),其中开腹组23例,腹腔镜组27例;选取同期绝经前健康女性112例(健康组),用女性性功能指数(FSFI)量表对参与者的性生活情况进行评估。结果健康组与手术组FSFI总分分别为(24.58±4.35)分与(18.35±9.62)分,两组差异有统计学意义(P0.05)。FSFI主要测量性欲望、主观性唤起、性活动时阴道润滑性、性高潮、性生活满意度、性交痛6个方面。比较健康组和手术组的调查结果,显示两组在性欲望、主观性唤起、性高潮、性生活满意度方面差异有统计学意义(P0.05);在性活动时阴道润滑性、性交痛方面差异无统计学意义(P0.05)。开腹组与腹腔镜组FSFI总分分别为(17.11±10.30)分和(19.41±9.07)分,差异无统计学意义(P0.05)。结论全子宫切除术可明显影响子宫肌瘤患者术后性生活质量;腹腔镜与开腹手术对子宫肌瘤患者行全子宫切除术后的性生活影响无差异。
[Abstract]:Objective to investigate the effect of total hysterectomy on sexual life in patients with uterine leiomyoma. Methods A total of 50 premenopausal patients with uterine leiomyoma underwent total double fallopian tube resection in Peking Union Hospital from January 2014 to January 2016-08-01 (operation group 23 cases, laparoscopy group 27 cases); A total of 112 premenopausal healthy women (healthy group) were assessed with FSFI scale. Results the total scores of FSFI in healthy group and operative group were 24.58 卤4.35 and 18.35 卤9.62, respectively. The difference between the two groups was significant in six aspects: sexual desire, subjective arousal, vaginal lubricity, orgasm, sexual satisfaction and sexual intercourse pain. The results of comparison between the healthy group and the operation group showed that there were significant differences in sexual desire, subjective arousal, orgasm and sexual satisfaction between the two groups (P 0.05), while there was no significant difference in vaginal lubricity during sexual activity and sexual intercourse pain (P 0.05). The total scores of FSFI in open group and laparoscopic group were 17.11 卤10.30 and 19.41 卤9.07, respectively. The difference was not statistically significant (P 0.05). Conclusion Total hysterectomy can significantly affect the quality of postoperative sexual life in patients with hysteromyoma, and there is no difference between laparoscopy and laparotomy on the sexual life of patients with hysteromyoma after total hysterectomy.
【作者单位】：北京协和医院妇产科;拉萨人民医院妇产科;
【分类号】：R713.4+2

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