不同子宫全切方式对患者妇科内分泌以及性生活质量的影响
2016-07-25李荣
李 荣
不同子宫全切方式对患者妇科内分泌以及性生活质量的影响
李 荣
【摘要】目的 研究不同子宫全切方式对患者妇科内分泌以及性生活质量的影响。方法 选择2013年9月~2014年9月来我院行子宫全切术的患者134例,根据子宫全切方式的不同分成全切组和次全切组,每组各67例。全切组采用子宫全切手术,次全切组采用子宫次全切手术,观察两组患者治疗效果。结果 手术前后两组患者内分泌水平相比,差异无统计学意义(P>0.05);手术后半年内次全切组患者性生活质量高于全切组,差异有统计学意义(P<0.05);手术1年后两组患者性生活质量相比,差异无统计学意义(P>0.05)。结论 采用子宫次全切术和全切术治疗对患者的内分泌和性生活均无影响,临床应加强对患者的心理护理,能有效改善患者内分泌,提高性生活质量。
【关键词】子宫全切手术;子宫次全切手术;治疗效果
Objective To study the influence of patients gynecologic endocrinology and quality of sexual life by the different hysterectomy modes. Methods We selected 134 cases of patients with total hysterectomy at our hospital from the September 2013 to September 2014,divided into the total removal group and subtotal removal group,each 67 cases. The total removal group was treated by total hysterectomy,and the subtotal removal group was treated by subtotal hysterectomy,observed the treatment effect of them. Results We compared the endocrine level of two groups of pre-operation and postoperation,there was no statistical significance(P>0.05). During the next half year after operation,the quality of sexual life of the subtotal removal group was significantly higher than the total removal group,there was statistical significance(P<0.05). After one year of the operation,compared the quality of sexual life of them,there was no statistical significance(P>0.05). Conclusion There was no significantly influence of the internal secretion and the quality of sexual life treated by total hysterectomy or subtotal hysterectomy. There should to strengthen the mental nursing on the clinic,that able to effectively improve the internal secretion and the quality of sexual life of the patients.
【Key words】 Total hysterectomy,Subtotal hysterectomy,Treatment effect
近几年,妇科肿瘤的发病率不断上升,子宫全切术已经成为妇科常见手术之一[1]。子宫切除术的方法较多,不同的方法取得的效果不同[2-3]。本研究主要讲述采用不同子宫全切方式治疗的效果,如下报告。
1 资料与方法
1.1 一般资料
选择2013年9月~2014年9月来我院行子宫全切术的患者134例,根据子宫全切方式不同分成两组,各67例。全切组年龄33~47岁,平均年龄(38.4±5.1)岁;次全切组年龄32~48岁,平均年龄(38.9±5.8)岁。两组患者一般资料相比,差异无统计学意义(P>0.05)。
1.2 治疗方法
全切组采用子宫全切手术,取下腹正中切口,了解病变范围,切断韧带及切开子宫膀胱腹膜反折,游离子宫体和子宫颈,切除子宫,关闭切口。……
