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目的:探讨不同手术方法治疗子宫肌瘤对患者术后卵巢功能及性功能的影响。方法:回顾性分析2011年5月至2013年10月高州市妇幼保健院收治的120例子宫肌瘤患者的临床资料,其中68例行子宫肌瘤剔除术(观察组),52例行全子宫切除术保留附件(对照组)。采用女性性功能调查问卷及婚姻质量调查问卷,观察两组患者术后6、12个月的卵巢功能与性功能变化情况及术后夫妻生活质量。结果:术后6个月,两组FSH水平较术前明显升高(P<0.05),E2水平均较术前降低(P<0.05),两组术后FSH、E2水平比较,差异有统计学意义(P<0.05)。两组术后性功能评分均较术前明显提高,观察组优于对照组(P<0.05)。结论:子宫肌瘤剔除术对患者的卵巢及性功能影响小,优于全子宫切除并保留附件手术。
Objective: To investigate the different surgical methods for treatment of uterine fibroids on postoperative ovarian function and sexual function. Methods: The clinical data of 120 patients with uterine myoma treated in Gaozhou Maternal and Child Health Hospital from May 2011 to October 2013 were retrospectively analyzed. Among them, 68 patients underwent myomectomy (observation group) and 52 patients underwent uterine fibroids Excision of the attachment (control group). Female sexual function questionnaire and marital quality questionnaire were used to observe the changes of ovarian function and sexual function in 6 and 12 months after operation and the quality of life after the couple. Results: At 6 months after operation, FSH levels in both groups were significantly higher than those before operation (P <0.05), and E2 levels were lower than those before operation (P <0.05). There was statistical difference between the two groups in FSH and E2 levels Significance (P <0.05). The scores of postoperative sexual function in both groups were significantly higher than those before operation, and the observation group was better than the control group (P <0.05). Conclusion: Myomectomy has little effect on the ovary and sexual function of patients, which is better than total hysterectomy and attachment surgery.