全子宫与次全子宫切除对子宫恶性肿瘤患者性生活质量影响临床对比研究.docVIP

全子宫与次全子宫切除对子宫恶性肿瘤患者性生活质量影响临床对比研究 　　【摘要】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（P0.05），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（P0.05），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。 　　【关键词】全子宫切除术；次全子宫切除术；子宫恶性肿瘤；性生活质量 　　【Abstract】Objectives： To investigate the relationship between total and subtotal hysterectomy and the quality of sexual life of patients， in order to provide research basis for improving the life quality of patients. Methods： The 194 patients with uterine malignancies from January 2010 to July 2013 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 statistically. Results： ① The luteinizing hormone and follicle-stimulating hormone in patients after total hysterectomy was 34.91±1.32 mIU/mL and 19.28±1.13 mIU/mL respectively， while the luteinizing hormone and follicle-stimulating hormone in patients after subtotal hysterectomy was 25.67±1.44mIU/mL and 14.69±1.54 mIU/mL respectively. Changes in hormone levels of total hysterectomy group was significantly higher than the subtotal hysterectomy group （P0.05）， with statistically significant difference. ② The postoperative libido score， orgasm score and psychological score of total hysterectomy patients was 159.93±11.31， 161.25±14.17 and 165.71±19.64 respectively， while those in the subtotal hysterectomy group were 187.21±9.18， 190.42±12.56