中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2015年
4期
21-24
,共4页
子宫肌瘤%内分泌%性功能
子宮肌瘤%內分泌%性功能
자궁기류%내분비%성공능
Uterine leiomyomas%Endocrine%Sexual function
目的:探讨不同手术方法对女性内分泌及性生活质量的影响。方法:回顾性分析于我院就诊并确诊为子宫肌瘤的患者80例,其中 A 组(施行全子宫切除术)40例,B 组(子宫肌瘤挖除术)40例。分别对两组不同术式的患者血清 E2、P、LH 和 FSH 水平和性功能做出评价,以探讨两种术式对患者内分泌和性生活质量的影响。结果:A、B 两组术后 E2、P 水平分别与术前相比显著降低(A 组:t =14.561,16.798;P =0.014,0.026。B 组:t =11.763,15.861;P =0.031,0.019),而 LH 和 FSH 水平分别与术前相比显著升高(A组:t =11.874,9.756;P =0.037,0.028。B 组:t =12.314,8.479;P =0.043,0.036),A 组与 B 组相比血清 E2、P 的降低程度(t =5.761,7.893;P =0.043,0.036)与 LH 和 FSH 的升高程度显著升高(t =4.198,5.693;P =0.026,0.041);A 组术后性欲、性唤起、性高潮、性心理和性行为评分与术前相比显著均降低,其中性欲、性唤起和性心理差异具有统计学意义(t =1.457,1.146,1.189;P =0.032,0.026,0.044),B 组术后性欲、性唤起、性高潮、性心理和性行为评分与术前相比显著均升高(t =4.798,3.315,4.156,5.513,4.591;P =0.024,0.032,0.027,0.034,0.037),B 组患者术后性欲、性唤起、性高潮、性心理和性行为评分与 A 组患者术后相比均显著升高(t =4.156,3.571,4.441,2.674,3.474;P =0.014,0.021,0.032,0.011,0.002)。结论:子宫肌瘤切除术相对于全子宫切除术对患者内分泌紊乱程度和性生活质量影响较小。
目的:探討不同手術方法對女性內分泌及性生活質量的影響。方法:迴顧性分析于我院就診併確診為子宮肌瘤的患者80例,其中 A 組(施行全子宮切除術)40例,B 組(子宮肌瘤挖除術)40例。分彆對兩組不同術式的患者血清 E2、P、LH 和 FSH 水平和性功能做齣評價,以探討兩種術式對患者內分泌和性生活質量的影響。結果:A、B 兩組術後 E2、P 水平分彆與術前相比顯著降低(A 組:t =14.561,16.798;P =0.014,0.026。B 組:t =11.763,15.861;P =0.031,0.019),而 LH 和 FSH 水平分彆與術前相比顯著升高(A組:t =11.874,9.756;P =0.037,0.028。B 組:t =12.314,8.479;P =0.043,0.036),A 組與 B 組相比血清 E2、P 的降低程度(t =5.761,7.893;P =0.043,0.036)與 LH 和 FSH 的升高程度顯著升高(t =4.198,5.693;P =0.026,0.041);A 組術後性欲、性喚起、性高潮、性心理和性行為評分與術前相比顯著均降低,其中性欲、性喚起和性心理差異具有統計學意義(t =1.457,1.146,1.189;P =0.032,0.026,0.044),B 組術後性欲、性喚起、性高潮、性心理和性行為評分與術前相比顯著均升高(t =4.798,3.315,4.156,5.513,4.591;P =0.024,0.032,0.027,0.034,0.037),B 組患者術後性欲、性喚起、性高潮、性心理和性行為評分與 A 組患者術後相比均顯著升高(t =4.156,3.571,4.441,2.674,3.474;P =0.014,0.021,0.032,0.011,0.002)。結論:子宮肌瘤切除術相對于全子宮切除術對患者內分泌紊亂程度和性生活質量影響較小。
목적:탐토불동수술방법대녀성내분비급성생활질량적영향。방법:회고성분석우아원취진병학진위자궁기류적환자80례,기중 A 조(시행전자궁절제술)40례,B 조(자궁기류알제술)40례。분별대량조불동술식적환자혈청 E2、P、LH 화 FSH 수평화성공능주출평개,이탐토량충술식대환자내분비화성생활질량적영향。결과:A、B 량조술후 E2、P 수평분별여술전상비현저강저(A 조:t =14.561,16.798;P =0.014,0.026。B 조:t =11.763,15.861;P =0.031,0.019),이 LH 화 FSH 수평분별여술전상비현저승고(A조:t =11.874,9.756;P =0.037,0.028。B 조:t =12.314,8.479;P =0.043,0.036),A 조여 B 조상비혈청 E2、P 적강저정도(t =5.761,7.893;P =0.043,0.036)여 LH 화 FSH 적승고정도현저승고(t =4.198,5.693;P =0.026,0.041);A 조술후성욕、성환기、성고조、성심리화성행위평분여술전상비현저균강저,기중성욕、성환기화성심리차이구유통계학의의(t =1.457,1.146,1.189;P =0.032,0.026,0.044),B 조술후성욕、성환기、성고조、성심리화성행위평분여술전상비현저균승고(t =4.798,3.315,4.156,5.513,4.591;P =0.024,0.032,0.027,0.034,0.037),B 조환자술후성욕、성환기、성고조、성심리화성행위평분여 A 조환자술후상비균현저승고(t =4.156,3.571,4.441,2.674,3.474;P =0.014,0.021,0.032,0.011,0.002)。결론:자궁기류절제술상대우전자궁절제술대환자내분비문란정도화성생활질량영향교소。
Objectives:To explore the influence of different surgery on the endocrine and sexual life quality of uterine leiomyomas patients.Methods:The 80 uterine leiomyomas patients in our hospital,including group A re-ceived hysterectomy (n =40)and group B received myomectomy (n =40)were respectively analyzed.The level of E2 ,P,LH and FSH in serum and sexual function between different groups were compared,to explore the influence on endocrine and quality of sexual life in different groups.Results:The postoperative level of E2 and P decreased significantly compared to preoperation (A group:t =14.561,16.798;P =0.014,0.026.B group:t =11.763, 15.861;P =0.031,0.019)in both groups,and the postoperative level of LH and FSH increased significantly compared to preoperation (A group:t =11.874,9.756;P =0.037,0.028.B group:t =12.314,8.479;P =0.043,0.036),the degree of decrease of E2 ,P(t =5.761,7.893;P =0.043,0.036)and the degree of increase of LH,FSH (t =4.198,5.693;P =0.026,0.041)was higher in A group than B group;the grade of sexual de-sire,sexual arousal,climax,sex psychology and sexual behavior in A group was lower after operation in A group compared to those before operation,the decrease in sexual desire,sexual arousal and sex psychology had statistically difference (t =1.457,1.146,1.189;P =0.032,0.026,0.044),and the grade in B group was higher in postop-eration compared to preoperation (t =4.798,3.315,4.156,5.513,4.591;P =0.024,0.032,0.027,0.034, 0.037),the postoperative grades of sexual desire,sexual arousal,climax,sex psychology and sexual behavior in B group were increased significantly compared to A group (t =4.156,3.571,4.441,2.674,3.474;P =0.014, 0.021,0.032,0.011,0.002).Conclusion:The myomectomy has lower effect on endocrine and the quality of sexual life of patients with uterine leiomyomas compared to hysterectomy.