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目的探讨不同术式对围绝经期女性子宫切除术后生活质量的影响。方法将96例行子宫切除术的围绝经期女性分为A组(子宫切除术)(n=41)、B组(子宫+单侧卵巢切除术)(n=34)、C组(子宫切除术+双侧卵巢切除术)(n=21),术前和术后6个月检测三组的激素水平,并采用改良Kupperman指数和女性性功能指数(FSFI)量表评价三组术后的围绝经期症状和性功能状况。结果三组术前的激素水平、Kupperman和FSFI评分比较差异无统计学意义(P>0.05)。术后6个月,C组的FSH和LH水平高于A组和B组(P<0.05),E2水平低于A组和B组(P<0.05),而A组与B组比较差异无统计学意义(P>0.05),三组的Kupperman和FSFI评分比较差异有统计学意义(P<0.05)。结论围绝经期女性子宫切除时保留双侧或单侧卵巢有助于提高其生活质量。
Objective To investigate the effect of different surgical procedures on quality of life after perimenopausal women’s hysterectomy. Methods A total of 96 perimenopausal women undergoing hysterectomy were divided into group A (hysterectomy) (n = 41), group B (uterine + unilateral ovariectomy) (n = 34), group C (N = 21). The hormone levels of the three groups were measured before and 6 months after operation. The modified Kupperman’s index and the female’s sexual function index (FSFI) Perimenopausal symptoms and sexual function. Results The preoperative hormone levels, Kupperman and FSFI scores of three groups showed no significant difference (P> 0.05). At 6 months after operation, the levels of FSH and LH in group C were higher than those in group A and group B (P <0.05), while the levels of E2 in group C were lower than those in group A and B (P <0.05) Statistical significance (P> 0.05). There was significant difference between Kupperman and FSFI scores in the three groups (P <0.05). Conclusion Preserving bilateral or unilateral ovaries during peri-menopausal women’s hysterectomy helps to improve their quality of life.