中国医科大学学报
中國醫科大學學報
중국의과대학학보
JOURNAL OF CHINA MEDICAL UNIVERSITY
2010年
3期
228-230
,共3页
开腹全子宫切除术%阴式全子宫切除术%经腹腔镜全子宫切除术%性功能%精神心理
開腹全子宮切除術%陰式全子宮切除術%經腹腔鏡全子宮切除術%性功能%精神心理
개복전자궁절제술%음식전자궁절제술%경복강경전자궁절제술%성공능%정신심리
transabdominal hysterectomy%transvaginal hysterectomy%laparoscopic total hysterectomy%sexual function%psychological health
目的 比较开腹全子宫切除术(TAH)、阴式全子宫切除术(TVH)及经腹腔镜全子宫切除术(LTH)对性功能、精神心理的影响.方法 对TAH100例、TVH100例及LTH40例,年龄在45～54岁患者术后1年随访,对性功能及精神心理问卷调查的结果进行分析比较,以同样标准选择子宫肌瘤核除术100例为对照组(核瘤组).结果 在性功能方面,与核瘤照组相比,＜50岁组3种途径全子宫切除术对性功能无明显影响(P＞0.05);而≥50岁组,女性性功能量表FSFI总分,核瘤组＞TVH组＞LTH组＞TAH组,TAH组与核瘤组及TVH组比较,均有显著性差异(P＜0.05).在精神心理方面,与(核瘤组)相比,＜50岁组3种途径全子宫切除术对精神心理无明显影响(P＞0.05);而≥50岁组,中国健康问卷(CHQ-12)评分,核瘤组＜TVH组＜LTH组＜TAH组,TAH组与核瘤组及TVH组比较,均有显著性差异(P＜0.05).结论 因子宫肌瘤等良性疾病行全子宫切除术,对年龄小于50岁患者的性功能及精神心理无显著影响,3种全子宫切除术术式之间比较亦无显著性差异;而年龄在50岁以上的患者行开腹全子宫切除术,对精神心理及性功能存在较大的负面影响.
目的 比較開腹全子宮切除術(TAH)、陰式全子宮切除術(TVH)及經腹腔鏡全子宮切除術(LTH)對性功能、精神心理的影響.方法 對TAH100例、TVH100例及LTH40例,年齡在45～54歲患者術後1年隨訪,對性功能及精神心理問捲調查的結果進行分析比較,以同樣標準選擇子宮肌瘤覈除術100例為對照組(覈瘤組).結果 在性功能方麵,與覈瘤照組相比,＜50歲組3種途徑全子宮切除術對性功能無明顯影響(P＞0.05);而≥50歲組,女性性功能量錶FSFI總分,覈瘤組＞TVH組＞LTH組＞TAH組,TAH組與覈瘤組及TVH組比較,均有顯著性差異(P＜0.05).在精神心理方麵,與(覈瘤組)相比,＜50歲組3種途徑全子宮切除術對精神心理無明顯影響(P＞0.05);而≥50歲組,中國健康問捲(CHQ-12)評分,覈瘤組＜TVH組＜LTH組＜TAH組,TAH組與覈瘤組及TVH組比較,均有顯著性差異(P＜0.05).結論 因子宮肌瘤等良性疾病行全子宮切除術,對年齡小于50歲患者的性功能及精神心理無顯著影響,3種全子宮切除術術式之間比較亦無顯著性差異;而年齡在50歲以上的患者行開腹全子宮切除術,對精神心理及性功能存在較大的負麵影響.
목적 비교개복전자궁절제술(TAH)、음식전자궁절제술(TVH)급경복강경전자궁절제술(LTH)대성공능、정신심리적영향.방법 대TAH100례、TVH100례급LTH40례,년령재45～54세환자술후1년수방,대성공능급정신심리문권조사적결과진행분석비교,이동양표준선택자궁기류핵제술100례위대조조(핵류조).결과 재성공능방면,여핵류조조상비,＜50세조3충도경전자궁절제술대성공능무명현영향(P＞0.05);이≥50세조,녀성성공능량표FSFI총분,핵류조＞TVH조＞LTH조＞TAH조,TAH조여핵류조급TVH조비교,균유현저성차이(P＜0.05).재정신심리방면,여(핵류조)상비,＜50세조3충도경전자궁절제술대정신심리무명현영향(P＞0.05);이≥50세조,중국건강문권(CHQ-12)평분,핵류조＜TVH조＜LTH조＜TAH조,TAH조여핵류조급TVH조비교,균유현저성차이(P＜0.05).결론 인자궁기류등량성질병행전자궁절제술,대년령소우50세환자적성공능급정신심리무현저영향,3충전자궁절제술술식지간비교역무현저성차이;이년령재50세이상적환자행개복전자궁절제술,대정신심리급성공능존재교대적부면영향.
Objective To compare the effects of transabdominal hysterectomy(TAH),transvaginal hysterectomy(TVH),and laparoscopic total hysterectomy(LTH)on sexual function and psychological health.Methods A total of 100 patients undergoing TAH,100 patients undergoing TVH,and 40 patients undergoing LTH were followed up for 1 year.All the patients were aged between 45 and 54 years.The Results of the questionnaire on sexual function and psychological health were analyzed and compared with those from 100 control subjects undergoing hysteromyomectomy.Results In pateints under 50 years of age,no significant difference in the sexual function and psychological health was found between control group and any one of TAH,TVH,and LTH goups.In patients aged 50 yeare and older.ESFI score decreased from control group to TVH group to LTH group to TAH group;CHQ-12 score increased from control group to TVH group to LTH group to TAH group;and there was significant difference in the FSFI and CHQ-12 scores both between TAH and control groups and between TAH and TVH groups(P＜0.05).Conclusion There is no obvious effect of these 3 surgical approches to hysterectomy on the sexual function and psychological health in patients under 50 years of age,and there is no significant difference in the sexual function and psychological health among these 3 surgcial approaches.In patients aged 50 yean;and older,TAH has a negative impact on the psychological health and sexual function.
