广州医学院学报
廣州醫學院學報
엄주의학원학보
ACADEMIC JOURNAL OF GUANGZHOU MEDICAL COLLEGE
2014年
3期
39-42
,共4页
子宫肌瘤%剔除术%全子宫切除%附件%内分泌%性功能
子宮肌瘤%剔除術%全子宮切除%附件%內分泌%性功能
자궁기류%척제술%전자궁절제%부건%내분비%성공능
uterine fibroids%eliminate operation%total hysterectomy%the attachment%endocrine%sexual function
目的：探讨不同手术方法治疗子宫肌瘤对患者术后卵巢功能及性功能的影响。方法：回顾性分析2011年5月至2013年10月高州市妇幼保健院收治的120例子宫肌瘤患者的临床资料，其中68例行子宫肌瘤剔除术(观察组)，52例行全子宫切除术保留附件(对照组)。采用女性性功能调查问卷及婚姻质量调查问卷，观察两组患者术后6、12个月的卵巢功能与性功能变化情况及术后夫妻生活质量。结果：术后6个月，两组 FSH 水平较术前明显升高(P<0.05)， E2水平均较术前降低(P<0.05)，两组术后 FSH、E2水平比较，差异有统计学意义(P<0.05)。两组术后性功能评分均较术前明显提高，观察组优于对照组(P<0.05)。结论：子宫肌瘤剔除术对患者的卵巢及性功能影响小，优于全子宫切除并保留附件手术。
目的：探討不同手術方法治療子宮肌瘤對患者術後卵巢功能及性功能的影響。方法：迴顧性分析2011年5月至2013年10月高州市婦幼保健院收治的120例子宮肌瘤患者的臨床資料，其中68例行子宮肌瘤剔除術(觀察組)，52例行全子宮切除術保留附件(對照組)。採用女性性功能調查問捲及婚姻質量調查問捲，觀察兩組患者術後6、12箇月的卵巢功能與性功能變化情況及術後伕妻生活質量。結果：術後6箇月，兩組 FSH 水平較術前明顯升高(P<0.05)， E2水平均較術前降低(P<0.05)，兩組術後 FSH、E2水平比較，差異有統計學意義(P<0.05)。兩組術後性功能評分均較術前明顯提高，觀察組優于對照組(P<0.05)。結論：子宮肌瘤剔除術對患者的卵巢及性功能影響小，優于全子宮切除併保留附件手術。
목적：탐토불동수술방법치료자궁기류대환자술후란소공능급성공능적영향。방법：회고성분석2011년5월지2013년10월고주시부유보건원수치적120례자궁기류환자적림상자료，기중68례행자궁기류척제술(관찰조)，52례행전자궁절제술보류부건(대조조)。채용녀성성공능조사문권급혼인질량조사문권，관찰량조환자술후6、12개월적란소공능여성공능변화정황급술후부처생활질량。결과：술후6개월，량조 FSH 수평교술전명현승고(P<0.05)， E2수평균교술전강저(P<0.05)，량조술후 FSH、E2수평비교，차이유통계학의의(P<0.05)。량조술후성공능평분균교술전명현제고，관찰조우우대조조(P<0.05)。결론：자궁기류척제술대환자적란소급성공능영향소，우우전자궁절제병보류부건수술。
Objective: on patients with different surgical treatment of uterine fibroids on the effect of postoperative ovarian function and sexual function, aims to improve patient quality of life after surgery.Methods:120 patients who underwent operative treatment of uterine fibroids 68 uterine fibroids routine surgery (observation group), the same routine 52 total hysterectomy retaining attachment (control group). Adopted questionnaire to female sexual and marriage quality questionnaire, to evaluate two groups of 6 months and 12 months postoperatively in patients with ovarian function and changes in sexual function and postoperative quality of life of husband and wife. Results: Two groups after 6 months hormone level determination of FsH compared with preoperative elevated obviously, two groups of postoperative E2 were reduced compared with preoperative, six months there was no significant difference comparing significance (P>0.05), significant but 12 months is more difference (P<0.05). Two groups of six months after sexual function score than preoperative obviously increase, observation group is better than that of control group, the difference was statistically significant ( P < 0. 05). Conclusion:Ovary and uterus is women very important endocrine organs, whether patients with uterine fibroids excision uterus and ovaries should be considered. Uterine fibroids out on ovarian and sexual function in patients with small, surgery is better than that of hysterectomy and keep all accessories.
