中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
23期
3535-3536,3537
,共3页
子宫肌瘤%阴式手术%卵巢功能%性功能
子宮肌瘤%陰式手術%卵巢功能%性功能
자궁기류%음식수술%란소공능%성공능
Uterine fibroids%Transvaginal myomectomy%Ovarian function%Sexual function
目的：比较两种子宫肌瘤切除术对患者卵巢与性功能的影响。方法将32例子宫肌瘤患者采取随机数字表法分为观察组与对照组，对照组行子宫全切除手术，观察组行阴式子宫肌瘤剔除手术，观察术后患者卵巢功能与性功能变化。结果观察组术后促性腺激素（6．52±1．13） mIU／L，黄体生成素（7．62±2．01）mIU／L；对照组术后促性腺激素（8．65±2．67）mIU／L，黄体生成素（9．43±2．89）mIU／L，两组差异均有统计学意义（t＝2．939、2．057，均P＜0．05）。观察组术后性功能各维度评分：性欲（133．47±26．29）分，性唤起（131.03±22．19）分，性高潮（139．93±26．79）分，性心理（136．27±31．05）分，性行为异常症状（136．24±33.22）分，射精时间（141．29±33．71）分，均高于对照组（ t＝2．778、2．691、2．550、1．988、1．979、3．496，均P＜0．05）。结论阴式子宫肌瘤剔除手术对患者卵巢功能及性功能影响较小，因此应建议子宫肌瘤患者尽量保留子宫，提高患者术后生活质量与内分泌系统的稳定性。
目的：比較兩種子宮肌瘤切除術對患者卵巢與性功能的影響。方法將32例子宮肌瘤患者採取隨機數字錶法分為觀察組與對照組，對照組行子宮全切除手術，觀察組行陰式子宮肌瘤剔除手術，觀察術後患者卵巢功能與性功能變化。結果觀察組術後促性腺激素（6．52±1．13） mIU／L，黃體生成素（7．62±2．01）mIU／L；對照組術後促性腺激素（8．65±2．67）mIU／L，黃體生成素（9．43±2．89）mIU／L，兩組差異均有統計學意義（t＝2．939、2．057，均P＜0．05）。觀察組術後性功能各維度評分：性欲（133．47±26．29）分，性喚起（131.03±22．19）分，性高潮（139．93±26．79）分，性心理（136．27±31．05）分，性行為異常癥狀（136．24±33.22）分，射精時間（141．29±33．71）分，均高于對照組（ t＝2．778、2．691、2．550、1．988、1．979、3．496，均P＜0．05）。結論陰式子宮肌瘤剔除手術對患者卵巢功能及性功能影響較小，因此應建議子宮肌瘤患者儘量保留子宮，提高患者術後生活質量與內分泌繫統的穩定性。
목적：비교량충자궁기류절제술대환자란소여성공능적영향。방법장32례자궁기류환자채취수궤수자표법분위관찰조여대조조，대조조행자궁전절제수술，관찰조행음식자궁기류척제수술，관찰술후환자란소공능여성공능변화。결과관찰조술후촉성선격소（6．52±1．13） mIU／L，황체생성소（7．62±2．01）mIU／L；대조조술후촉성선격소（8．65±2．67）mIU／L，황체생성소（9．43±2．89）mIU／L，량조차이균유통계학의의（t＝2．939、2．057，균P＜0．05）。관찰조술후성공능각유도평분：성욕（133．47±26．29）분，성환기（131.03±22．19）분，성고조（139．93±26．79）분，성심리（136．27±31．05）분，성행위이상증상（136．24±33.22）분，사정시간（141．29±33．71）분，균고우대조조（ t＝2．778、2．691、2．550、1．988、1．979、3．496，균P＜0．05）。결론음식자궁기류척제수술대환자란소공능급성공능영향교소，인차응건의자궁기류환자진량보류자궁，제고환자술후생활질량여내분비계통적은정성。
Objective To analyze two kinds of hysteromyoma resection for patients with ovarian and sexual function.Methods 32 patients with uterine fibroids were based on different surgical procedure was divided into the observation group and control group,the control group total excision of the uterine surgery,observation group Yin type uterine fibroids rejecting operation,the postoperative patients with ovarian function and function change were observed. Results Gonadotropin in postoperative observation group was (6.52 ±1.13) mIU/L,luteinizing hormone (7.62 ± 2.01)mIU/L;Postoperative gonadotropin controls (8.65 ±2.67) mIU/L,luteinizing hormone (9.43 ±2.89) mIU/L, there was statistically significant difference between the two group(t=2.939,2.057,all P<0.05).Observation group of patients with postoperative sexual function in each dimension score:sexual desire (133.47 ±26.29) points,sexual arousal (131.03 ±22.19) points,orgasm (139.93 ±26.79),(136.27 ±31.05),psychological sex abnormalities (136.24 ±33.22)points,ejaculation time (141.29 ±33.71)points were higher than those of the control group(t=2.778,2.691,2.550,1.988,1.979,3.496,all P<0.05).Conclusion Yin uterine fibroids eliminate surgery for patients has less effects on ovarian function and sexual function,so patients with uterine fibroids should be suggested to retain the womb,in order to improve patients postoperative quality of life and the stability of the endocrine system.
