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目的 探讨绝育手术对女性性机能的影响。方法 采用自编性机能调查表、汉密尔顿焦虑量表对 2 76例实施绝育手术的女性进行术前和术后 3mo、6mo、12mo评定。结果 女性实施绝育手术前及手术后 3mo、6mo、12mo月经异常率分别为 37.31%、91.6 7%、5 9.4 2 %、38.77% ,术前与术后 3mo、6mo比较有极显著性差异 (P <0 .0 1)。性机能障碍主要表现为 :月经紊乱或经期延长、性欲减退、性交频率降低。术前、术后汉密尔顿焦虑量表评分有显著或极显著性差异 (P <0 .0 5或P <0 .0 1)。结论 心理社会因素是导致女性绝育后性机能障碍的主要原因。
Objective To investigate the effect of sterilization on female sexual function. Methods Two hundred and seventy-six women who underwent sterilization surgery were assessed with preoperative and postoperative 3mo, 6mo and 12mo using self-made functional questionnaire and Hamilton Anxiety Scale. Results The rate of abnormal menstruation before and 3 months, 6 months and 12 months after operation were 37.31%, 91.6 7%, 59.2% and 38.77% respectively. There was a significant difference between preoperative and postoperative 3mo and 6mo (P <0 .0 1). Sexual dysfunction is mainly manifested as: menstrual disorders or menstrual prolongation, loss of libido, sexual intercourse frequency decreased. The preoperative and postoperative Hamilton Anxiety Scale scores were significantly or very significantly different (P <0.05 or P <0.01). Conclusions Psychosocial factors are the main causes of sexual dysfunction after sterilization in female.