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目的:比较不同手术方式对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152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,但对术后患者性功能、婚姻质量和生活质量有不同的影响。
Objective: To compare the effect of different surgical methods on postoperative quality of life of patients with uterine fibroids. Methods: The sexual function, marital quality and quality of life of 152 patients with uterine fibroids were evaluated by Female Sexual Function Questionnaire, Olson Marital Quality Questionnaire and Nottingham Health Scale. Results: The postoperative ovarian function was normal in all patients. The postoperative sexual function, marital quality and quality of life of the patients after hysterectomy were lower than those before operation. The quality of life and quality of life of the subtotal hysterectomy group were better than those before operation, Obviously changed. The postoperative sexual function, marital quality and quality of life of the uterine myomectomy group and vascular intervention group were significantly better than preoperative. Conclusion: Different surgical methods have no significant effect on postoperative ovarian function in patients with uterine fibroids, but have different effects on postoperative sexual function, marital quality and quality of life.