CAJ | 학술논문

目的：探讨全子宫与次全子宫切除术与患者性生活质量的关系，为提高患者的性生活质量提供研究依据。方法：选取2010年1月至2013年7月子宫恶性肿瘤194例患者为研究对象，所有患者随机分为两组，全子宫切除术组97例，次全子宫切除术组97例。采用不同方式手术后，分别比较两组子宫恶性肿瘤患者手术后性激素变化情况、性生活质量和满意程度并进行统计学分析。结果：（1）全子宫切除术组患者术后黄体生成素变化情况为（34．91±1．32）mIU ／mL，促卵泡激素（19．28±1．13）mIU ／mL；次全子宫切除术组患者术后黄体生成素（25．67±1．44）mIU ／mL，促卵泡激素（14．69±1．54）mIU ／mL；手术后，全子宫切除术组的激素变化水平明显高于次全子宫切除术组（P ＜0．05），有统计学意义。（2）全子宫切除术组患者术后性欲评分（159．93±11．31）分，性高潮评分（161．25±14．17）分，性心理评分（165．71±19．64）分；次全子宫切除术组性欲评分（187．21±9．18）分，性高潮评分（190．42±12．56）分，性心理评分（184．49±16．71）分；术后次全子宫切除术组性生活质量评分明显高于全子宫切除术组（P ＜0．05），具有显著性差异。结论：全子宫与次全子宫切除手术是子宫恶性肿瘤的常见手术方式，次全子宫切除术对患者性激素水平影响较小，性生活质量和满意程度均较高，适合临床推广使用。
목적：탐토전자궁여차전자궁절제술여환자성생활질량적관계，위제고환자적성생활질량제공연구의거。방법：선취2010년1월지2013년7월자궁악성종류194례환자위연구대상，소유환자수궤분위량조，전자궁절제술조97례，차전자궁절제술조97례。채용불동방식수술후，분별비교량조자궁악성종류환자수술후성격소변화정황、성생활질량화만의정도병진행통계학분석。결과：（1）전자궁절제술조환자술후황체생성소변화정황위（34．91±1．32）mIU ／mL，촉란포격소（19．28±1．13）mIU ／mL；차전자궁절제술조환자술후황체생성소（25．67±1．44）mIU ／mL，촉란포격소（14．69±1．54）mIU ／mL；수술후，전자궁절제술조적격소변화수평명현고우차전자궁절제술조（P ＜0．05），유통계학의의。（2）전자궁절제술조환자술후성욕평분（159．93±11．31）분，성고조평분（161．25±14．17）분，성심리평분（165．71±19．64）분；차전자궁절제술조성욕평분（187．21±9．18）분，성고조평분（190．42±12．56）분，성심리평분（184．49±16．71）분；술후차전자궁절제술조성생활질량평분명현고우전자궁절제술조（P ＜0．05），구유현저성차이。결론：전자궁여차전자궁절제수술시자궁악성종류적상견수술방식，차전자궁절제술대환자성격소수평영향교소，성생활질량화만의정도균교고，괄합림상추엄사용。
Objectives:To investigate the relationship between total and subtotal hysterectomy and the qual-ity of sexual life of patients,in order to provide research basis for improving the life quality of patients.Methods:The 1 94 patients with uterine malignancies from January 201 0 to July 201 3 were selected and randomly divided into two groups,the total hysterectomy group and subtotal hysterectomy group,each of 97 cases.After surgeries,the hormone changes,quality of sexual life and sexual satisfaction of the two groups were compared and analyzed statisti-cally.Results:① The luteinizing hormone and follicle -stimulating hormone in patients after total hysterectomy was 34.91 ±1 .32 mIU /mL and 1 9.28 ±1 .1 3 mIU /mL respectively,while the luteinizing hormone and follicle -stimulating hormone in patients after subtotal hysterectomy was 25.67 ±1 .44mIU /mL and 1 4.69 ±1 .54 mIU /mL respectively.Changes in hormone levels of total hysterectomy group was significantly higher than the subtotal hyster-ectomy group (P <0.05),with statistically significant difference.② The postoperative libido score,orgasm score and psychological score of total hysterectomy patients was 1 59.93 ±1 1 .31 ,1 61 .25 ±1 4.1 7 and 1 65.71 ±1 9.64 respectively,while those in the subtotal hysterectomy group were 1 87.21 ±9.1 8,1 90.42 ±1 2.56 and 1 84.49 ± 1 6.71 respectively.The quality of sexual life in subtotal hysterectomy group was much higher than that of the total hysterectomy group,with significant differences (P <0.05).Conclusion:Total hysterectomy and subtotal hyster-ectomy surgery are common surgeries for uterine cancer.With less impact on patients’hormone levels and higher quality of sexual life and sexual satisfaction,subtotal hysterectomy is worthy of widely clinical use.