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目的探讨子宫肌瘤患者行全子宫切除术对性生活的影响。方法选取2014-01-01—2016-08-01因子宫肌瘤在北京协和医院行全子宫双输卵管切除术的绝经前患者50例(手术组),其中开腹组23例,腹腔镜组27例;选取同期绝经前健康女性112例(健康组),用女性性功能指数(FSFI)量表对参与者的性生活情况进行评估。结果健康组与手术组FSFI总分分别为(24.58±4.35)分与(18.35±9.62)分,两组差异有统计学意义(P<0.05)。FSFI主要测量性欲望、主观性唤起、性活动时阴道润滑性、性高潮、性生活满意度、性交痛6个方面。比较健康组和手术组的调查结果,显示两组在性欲望、主观性唤起、性高潮、性生活满意度方面差异有统计学意义(P<0.05);在性活动时阴道润滑性、性交痛方面差异无统计学意义(P>0.05)。开腹组与腹腔镜组FSFI总分分别为(17.11±10.30)分和(19.41±9.07)分,差异无统计学意义(P>0.05)。结论全子宫切除术可明显影响子宫肌瘤患者术后性生活质量;腹腔镜与开腹手术对子宫肌瘤患者行全子宫切除术后的性生活影响无差异。
Objective To investigate the effect of hysterectomy on sexual life in patients with uterine fibroids. Methods selected 2014-01-01-2016-08-01 50 cases of uterine fibroids due to hysterectomy in Beijing Union Medical College Hospital (operation group), including open group of 23 cases, laparoscopic group of 27 In this study, 112 healthy pre-menopausal women (healthy group) were enrolled in this study. The sexual performance of the participants was assessed using the Female Sex Function Index (FSFI) scale. Results The total score of FSFI in healthy group and operation group was (24.58 ± 4.35) points and (18.35 ± 9.62) points respectively, with significant difference between the two groups (P <0.05). FSFI mainly measures sexual desire, subjective arousal, sexual activity, vaginal lubrication, orgasm, sexual satisfaction, sexual pain, six aspects. The results of the survey of healthy group and operation group showed that there was significant difference between the two groups in sexual desire, subjective arousal, orgasm and sexual life satisfaction (P <0.05); in vaginal lubrication, sexual pain There was no significant difference (P> 0.05). The total scores of FSFI in open group and laparoscopic group were (17.11 ± 10.30) points and (19.41 ± 9.07) points respectively, with no significant difference (P> 0.05). Conclusion Hysterectomy can significantly affect the quality of postoperative sexual life of patients with uterine fibroids; laparoscopic and open surgery on hysterectomy patients with hysterectomy sex life no difference.