不同手术方式对子宫肌瘤患者术后生活质量的影响.pdfVIP

858 中国临床医学 2007年 12月 第 14卷 第6期 · 论著· 不同手术方式对子宫肌瘤患者术后生活质量的影响 张晓玲 朱清仙! 摘要 目的：比较不同手术方式时子宫肌瘤患者术后生活质量的影响。方法：采用女性性功能调查表、Olson婚姻质量调查问 卷及诺丁汉健康量表对1 52例子宫肌瘤接受手术治疗的患者进行性功能、婚姻质量及生活质量的评估。结果：所有患者术后 卵巢功能正常；全子宫切除组术后性功能、婚姻质量及生活质量均较术前降低；次全子宫切除组术后婚姻质量及生活质量较 术前改善，性功能无明显改变；子宫肌瘤剔除组和血管介入治疗组术后性功能、婚姻质量及生活质量明显优于术前。结论：不 同手术方式对子宫肌瘤患者术后卵巢功能无明显影响．但时术后患者性功能、婚姻质量和生活质量有不同的影响。 关键词 子宫肌瘤； 手术； 性功能； 婚姻质量； 生活质量 中图分类号 R737．33 文献标识码 A Influence of Different Operations on the Life Qualify of Patients with Hysteromyoma ZHA』＼，G xiaoling ZHUQingxian! 1．1， “7lg：z’i Women’ C ildren’ Hospital，N“7 7(hang 330006；2．Medical College of Nanchang University。 Nanc、hang 330006 Abstract Objective：To study the influence of different operations()n the life guality of patients with hysteromyoma．Methods： A total of 1 52 patients with hysteromyoma were divided into different groups by different operations．Before and after opera— tion，the scores of the Brief Index of Sexual Function for Women(BISF W)，the Olson’S Enrich Questionary and the Notting— ham Health Poofity(NHP)were tested in all patients．Results：There was no significant difference in ovarian hormones level between pre—and post—operation．After operation，the sexual function．quality of marital and quality of life were worse in hys— terectomy group，but were significantly superior than pre—operation in hysteromyoma eliminate group and blood vessel interven— tion group．The quality of marital and quality of life were better than that before operation in subtotal hysterectomy group．Con— clusion：The different operations have 110 influence on o、’ary function，but have different influence on the sexual function，quality of marital and quality of life in hysteromyoma patients with operation． Key Words Hysteromyoma； Operation； Sexual function； Quality of marital； Quality of life