摘要
目的:探讨女性全子宫切除术后性生活变化情况,总结其影响因素,以期提高临床诊治水平。方法:回顾性分析我院妇产科2010年2月到2013年5月210例行全子宫切除术患者,评价术前术后在性生活相关指标变化情况,并进行性生活影响因素分析。结果:在女性性生活质量问卷和女性性功能指数问卷上,治疗后在相关指标评分上较治疗前比较差异均有统计学意义(P<0.05);年龄、手术范围、宫颈去除、婚姻状况、经产次、配偶总体关系、性心理发育是影响因素(P均<0.05),而和职业无关(P>0.05)。其中年龄、手术范围、宫颈去除、婚姻状况、经产次、配偶总体关系、性心理发育是女性全子宫切除术后性生活独立危险因素(P均<0.05)。结论:女性全子宫切除术后性生活和术前比较有所下降,而尽可能保留宫颈和附件等对术后性生活影响性低。
Objectives： To investigate the sexual life condition of women after hysterectomy resection and summarize the influencing factors in order to improve the level of clinical diagnosis and treatment. Methods： A retrospective analysis of 210 female patients underwent hysterectomy resection in our hospital from February 2010 to May 2013 was conducted,and relevant indicators of sexual life conditions were evaluated before and after the operation,to analyze the influencing factors. Results： In terms of Female Sexual Quality of Life Questionnaire and the Female Sexual Function Index questionnaire,difference in scores on relevant indicators after treatment was statistically significant compared with that before treatment（ P〈0. 05）. Age,extent of surgery,the removal of the cervix,marital status,by parity,overall relationship spouse and psychological development were all influencing factor（ P〈0. 05）,while irrelevant to occupation（ P〈0. 05）. Where age,extent of surgery,the removal of the cervix,marital status,by the parity,the overall relationship between spouses,psychological development were independent risk factors for female sexual life after hysterectomy（ P〈0. 05）. Conclusion： Total hysterectomy relatively decreases the sexual life quality of female,and to retain the cervix and accessories as far as possible will reduce the influence on postoperative sexual life.
出处
《中国性科学》
2016年第6期38-40,共3页
Chinese Journal of Human Sexuality
