临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
11期
1479-1480
,共2页
子宫肌瘤%子宫肌瘤剥除术%次全子宫切除术%全子宫切除术%围绝经期症状
子宮肌瘤%子宮肌瘤剝除術%次全子宮切除術%全子宮切除術%圍絕經期癥狀
자궁기류%자궁기류박제술%차전자궁절제술%전자궁절제술%위절경기증상
Hysteromyoma%Excision of hysteromyoma%Subtotal hysterectomy%Total hysterectomy%Perimenopausal symptom
目的 探讨三种手术方式对子宫肌瘤患者内分泌功能、 围绝经期症状及性生活障碍的影响. 方法 选择114例来我院就诊的子宫肌瘤患者, 根据所采用的手术类型分为A组 (行子宫肌瘤剥除术) 34例、 B组 (行次全子宫切除术) 42例和C组(行子宫全切除术) 38例. 比较三组患者手术前后性激素水平的变化, 手术后半年通过问卷调查的方式判断患者的围绝经期和性生活障碍的情况. 结果 手术后A组、 B组和C组都表现为E2水平下降, LH、 FSH水平升高, A组手术前后的E2、 LH和FSH与术前比较无统计学差异 (P>0.05), B组与C组术后8周和24周的E2、 LH、 FSH水平与本组术前比较, 有统计学差异 (P <0.01); 术后24周, C组与A组、 B组的表达水平比较, 有统计学差异 (P<0.01). 术后半年, B组、 C组的围绝经期综合征、 性高潮障碍、 性欲缺乏的发生率均显著高于A组, 差异具有统计学意义 (P<0.05); C组的性交痛发生率显著高于A组 (P<0.05),但A组与B组间差异无统计学意义 (P>0.05). 结论 不同手术方式对子宫肌瘤患者的内分泌功能、 围绝经期症状和性生活的影响不同, 必须根据患者自身的情况选择合适的手术方式, 力求对患者的伤害降到最低.
目的 探討三種手術方式對子宮肌瘤患者內分泌功能、 圍絕經期癥狀及性生活障礙的影響. 方法 選擇114例來我院就診的子宮肌瘤患者, 根據所採用的手術類型分為A組 (行子宮肌瘤剝除術) 34例、 B組 (行次全子宮切除術) 42例和C組(行子宮全切除術) 38例. 比較三組患者手術前後性激素水平的變化, 手術後半年通過問捲調查的方式判斷患者的圍絕經期和性生活障礙的情況. 結果 手術後A組、 B組和C組都錶現為E2水平下降, LH、 FSH水平升高, A組手術前後的E2、 LH和FSH與術前比較無統計學差異 (P>0.05), B組與C組術後8週和24週的E2、 LH、 FSH水平與本組術前比較, 有統計學差異 (P <0.01); 術後24週, C組與A組、 B組的錶達水平比較, 有統計學差異 (P<0.01). 術後半年, B組、 C組的圍絕經期綜閤徵、 性高潮障礙、 性欲缺乏的髮生率均顯著高于A組, 差異具有統計學意義 (P<0.05); C組的性交痛髮生率顯著高于A組 (P<0.05),但A組與B組間差異無統計學意義 (P>0.05). 結論 不同手術方式對子宮肌瘤患者的內分泌功能、 圍絕經期癥狀和性生活的影響不同, 必鬚根據患者自身的情況選擇閤適的手術方式, 力求對患者的傷害降到最低.
목적 탐토삼충수술방식대자궁기류환자내분비공능、 위절경기증상급성생활장애적영향. 방법 선택114례래아원취진적자궁기류환자, 근거소채용적수술류형분위A조 (행자궁기류박제술) 34례、 B조 (행차전자궁절제술) 42례화C조(행자궁전절제술) 38례. 비교삼조환자수술전후성격소수평적변화, 수술후반년통과문권조사적방식판단환자적위절경기화성생활장애적정황. 결과 수술후A조、 B조화C조도표현위E2수평하강, LH、 FSH수평승고, A조수술전후적E2、 LH화FSH여술전비교무통계학차이 (P>0.05), B조여C조술후8주화24주적E2、 LH、 FSH수평여본조술전비교, 유통계학차이 (P <0.01); 술후24주, C조여A조、 B조적표체수평비교, 유통계학차이 (P<0.01). 술후반년, B조、 C조적위절경기종합정、 성고조장애、 성욕결핍적발생솔균현저고우A조, 차이구유통계학의의 (P<0.05); C조적성교통발생솔현저고우A조 (P<0.05),단A조여B조간차이무통계학의의 (P>0.05). 결론 불동수술방식대자궁기류환자적내분비공능、 위절경기증상화성생활적영향불동, 필수근거환자자신적정황선택합괄적수술방식, 력구대환자적상해강도최저.
Objective To explore the effects of three different surgical types for the treatment of hysteromyoma. Methods 114 cases of patients with hysteromyoma admitted to our hospital were selected and divided into three groups according to surgical types:group A (n=34, excision of hysteromyoma), group B (n = 42, subtotal hysterectomy) and group C (n = 38, total hysterectomy). The levels of sex hormones before and after surgery were compared among 3 groups. Six months after surgery, the situations of perimenopausal symptom and sexual disorders were investigated by questionnaire. Results After surgery, all 3 groups showed decreased E2 level, and increased LH and FSH levels; group A had no significant difference in E2, LH and FSH levels after surgery (P >0.05), while group B and group C had significant difference in E2, LH and FSH levels after surgery (P <0.01); 24 weeks after surgery, group C showed significant differences compared with group A and group B (P<0.01). Six months after surgery, the incidences of perimenopausal syndrome, difficulty in orgasm, asexuality of group B and group C were significantly higher than those of group A (P<0.05);The incidence of intercourse pain of group C was significantly higher than that of group A (P<0.05), while no statistical difference was found between group A and group B (P>0.05). Conclusions All the hysteromyoma operation types have influence on endocrine secretion, perimenopausal symptoms and sexual life. It is better to decide which surgical type to take according to patients' individual situation, so as to minimize the damage to patients.
