CAJ | 학술논문

目的：评价子宫腺肌病患者术后健康状况（包括生理、心理和社会健康），比较经阴道子宫全切术和子宫动脉栓塞术对子宫腺肌病的临床疗效。方法选取佛山市妇幼保健院2011年8月~2013年6月因子宫腺肌病需手术治疗的患者共50例，根据手术方法不同，分为经阴道全子宫切除术组及子宫动脉栓塞术组，各25例。应用自测健康评定量表1.0（SRHMS V1.0）对两组患者术前、术后3个月及术后1年的健康状况进行评分并比较。结果术前两组患者的健康状况评分差异无统计学意义（P>0.05）。术后3个月子宫动脉栓塞组身体症状与器官功能、日常生活功能、身体活动功能、生理健康评定子量表、心理症状与负向情绪、心理健康评定子量表、社会资源与社会接触、社会健康评定子量表和自测健康评定量表总分高于全子宫切除术组，差异有统计学意义（P<0.05）。术后1年子宫动脉栓塞术组日常生活功能、身体活动功能、生理健康评定子量表、心理症状与负向情绪、心理健康评定子量表、社会资源与社会接触和自测健康评定量表总分均高于全子宫切除术组，差异有统计学意义（P<0.05）。结论子宫动脉栓塞术较经阴道全子宫切除术在子宫腺肌病患者术后健康恢复方面有明显优势，是治疗子宫腺肌病的有效术式。
목적：평개자궁선기병환자술후건강상황（포괄생리、심리화사회건강），비교경음도자궁전절술화자궁동맥전새술대자궁선기병적림상료효。방법선취불산시부유보건원2011년8월~2013년6월인자궁선기병수수술치료적환자공50례，근거수술방법불동，분위경음도전자궁절제술조급자궁동맥전새술조，각25례。응용자측건강평정량표1.0（SRHMS V1.0）대량조환자술전、술후3개월급술후1년적건강상황진행평분병비교。결과술전량조환자적건강상황평분차이무통계학의의（P>0.05）。술후3개월자궁동맥전새조신체증상여기관공능、일상생활공능、신체활동공능、생리건강평정자량표、심리증상여부향정서、심리건강평정자량표、사회자원여사회접촉、사회건강평정자량표화자측건강평정량표총분고우전자궁절제술조，차이유통계학의의（P<0.05）。술후1년자궁동맥전새술조일상생활공능、신체활동공능、생리건강평정자량표、심리증상여부향정서、심리건강평정자량표、사회자원여사회접촉화자측건강평정량표총분균고우전자궁절제술조，차이유통계학의의（P<0.05）。결론자궁동맥전새술교경음도전자궁절제술재자궁선기병환자술후건강회복방면유명현우세，시치료자궁선기병적유효술식。
Objective To compare the clinical efficiency of transvaginal hysterectomy and uterine arterial embolization treatment for adenomyosis, by evaluating the patients' postoperative health status including physiological, psychological and social health condition. Methods 50 patients who needed operation for adenomyosis were selected from Maternal and Child Health Hospital of Foshan City from August 2011 to June 2013. According to different operation methods, patients were divided into the transvaginal hysterectomy group and uterine arterial embolization group, each group had 25 cases. The health status of each patient was scored by the self-rated health measurement scale, revision 1.0 (SRHMS V1.0) before operation, 3 months after operation and 1 year after operation, and were compared between the two groups. Results Before operation, there was no statistical difference in score of SRHMS between the transvaginal hysterectomy group and uterine arterial embolization group (P> 0.05). 3 months after operation, the scores of physical symptoms and organ function, daily living function, physical mobility function, physiological health subscale, psycholog-ical symptoms and negative emotion, mental health subscale, social resource and contact, social health subscale and SRHMS of uterine arterial embolization group were statistically higher than those of the transvaginal hysterectomy group (P< 0.05). Furthermore, 1 year after operation, the scores of daily living function, physical mobility function, physio-logical health subscale, psychological symptoms and negative emotion, mental health subscale, social resource and con-tact and SRHMS of the uterine arterial embolization group were statistically higher than those of the transvaginal hys-terectomy group (P < 0.05). Conclusion Compared with transvaginal hysterectomy, uterine arterial embolization is a more effective operation treatment in adenomyosis due to its distinct advantage in postoperative recovery for adeno-myosis patients.