论文部分内容阅读
目的 评价子宫动脉栓塞治疗子宫肌瘤的生命质量变化 ,并与手术治疗相比较。方法按照完全随机对照研究方法 ,将子宫肌瘤患者分为子宫动脉栓塞组和手术治疗组 ,术前和术后 6个月进行生命质量问卷调查 ,分析治疗前后 2组患者生命质量的变化。结果 2 79例症状性子宫肌瘤患者符合标准进入本研究 ,其中栓塞组 1 39例 ,手术组 1 4 0例。 2 1 8例患者 (栓塞组 1 1 8例 ,手术组1 0 0例 )完成术后 6个月的生命质量问卷。栓塞组术后的生命质量各因子评分均较术前明显提高 ,差异均有非常显著性意义 (P <0 0 0 1 ) ,而手术组术后除性生活评分与术前比较差异无显著性意义外 ,其他因子评分与术前相比差异均有非常显著性意义 (P <0 0 0 1 ) ;治疗前后生命质量评分差值两组患者相比较 ,术后性生活、一般健康状况、精力、情感职能和精神健康和健康变化等因子评分差值两组差异均有显著性意义 (P <0 0 0 1 ) ,栓塞组高于手术组。结论 子宫动脉栓塞比手术治疗更能提高子宫肌瘤患者的术后生命质量
Objective To evaluate the changes of the quality of life of uterine fibroids treated by uterine artery embolization and compare with the surgical treatment. Methods According to a completely randomized controlled study, patients with uterine fibroids were divided into uterine arterial embolization group and surgical treatment group. Quality of life questionnaire was performed before and 6 months after operation, and the changes of quality of life before and after treatment were analyzed. Results Two hundred and ninety-nine patients with symptomatic uterine fibroids entered the study, of which 39 were in the embolization group and 140 in the surgery group. A total of 218 patients (181 in the embolization group and 100 in the surgery group) completed the 6-month post-operation quality of life questionnaire. The quality of life after embolization group score of each factor were significantly increased compared with preoperative, the difference was significant (P <0 0 0 1), but the operation group postoperative sexual life addition score was no significant difference compared with preoperative Significance, other factors score compared with preoperative differences were significant (P <0.01); before and after treatment, the quality of life difference between the two groups of patients compared to postoperative sex life, general health, energy , Emotional function and mental health and health changes and other factors score differences between the two groups were significant (P <0.01), embolism group was higher than the surgery group. Conclusion Uterine arterial embolization can improve the postoperative quality of life of patients with uterine fibroids better than surgical treatment