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目的:研究探讨子宫切除不同方式是否会对女性性生活品质有所改变及对术后女性盆底功能的影响的临床意义。方法:随机选取2010年9月至2012年5月在安吉县计划生育指导站/妇幼保健院进行检查且行子宫切除术的患者120例,根据子宫切除的不同方式分为研究组与对照组,研究组患者行子宫全切术(78例);对照组行子宫次全切术(42例),对比观察两组患者术后1~3年的性生活和谐程度及对盆底功能的影响的关系。结果:研究组患者经过子宫全切术后性生活质量明显下降,患者性生活满意度明显低于子宫次全切的对照组,两组比较差异有统计学意义(P<0.05),研究组在盆底功能,包括阴道脱垂、膀胱和直肠膨出及尿失禁方面的发病率均高于对照组,两组比较差异有统计学意义(P<0.05)。结论:在一定程度上,子宫次全切患者比子宫全切术后性生活质量高,且盆底功能发生障碍率低。
Objective: To study whether the different ways of hysterectomy will change the quality of female sexual life and the clinical significance of postoperative pelvic floor function. Methods: A total of 120 patients undergoing hysterectomy at Family Planning Station / Maternal and Child Health Hospital in Anji County from September 2010 to May 2012 were randomly selected and divided into study group and control group according to different ways of hysterectomy The patients underwent hysterectomy (n = 78). The control group received subtotal hysterectomy (n = 42). The relationship between sexual life harmony and pelvic floor function in two to three years after operation was observed . Results: The quality of life of the study group after hysterectomy was significantly decreased, and the degree of sexual life satisfaction was significantly lower in the study group than in the sub-total hysterectomy group (P <0.05) The pelvic floor function, including the incidence of vaginal prolapse, bladder and rectocele and urinary incontinence were higher than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion: To a certain extent, uterine total subtotal hysterectomy than after the high quality of sexual life, and the incidence of pelvic floor dysfunction is low.