子宫切除术与性健康：阴道子宫切除术、次全腹式子宫切除术和全腹式子宫切除术的前瞻性观察研究
Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy.
作者信息
Roovers Jan-Paul W R, van der Bom Johanna G, van der Vaart C Huub, Heintz A Peter M
机构信息
Department of Obstetrics and Gynaecology, University Medical Center Utrecht, 3584 CX Utrecht, Netherlands.
出版信息
BMJ. 2003 Oct 4;327(7418):774-8. doi: 10.1136/bmj.327.7418.774.
Abstract
OBJECTIVES
To compare the effects of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy on sexual wellbeing.
DESIGN
Prospective observational study over six months.
SETTING
13 teaching and non-teaching hospitals in the Netherlands.
PARTICIPANTS
413 women who underwent hysterectomy for benign disease other than symptomatic prolapse of the uterus and endometriosis.
MAIN OUTCOME MEASURES
Reported sexual pleasure, sexual activity, and bothersome sexual problems.
RESULTS
Sexual pleasure significantly improved in all patients, independent of the type of hysterectomy. The prevalence of one or more bothersome sexual problems six months after vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy was 43% (38/89), 41% (31/76), and 39% (57/145), respectively (chi2 test, P = 0.88).
CONCLUSION
Sexual pleasure improves after vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy. The persistence and development of bothersome problems during sexual activity were similar for all three techniques.
摘要
目的
比较阴道子宫切除术、次全腹式子宫切除术和全腹式子宫切除术对性健康的影响。
设计
为期六个月的前瞻性观察研究。
地点
荷兰的13家教学医院和非教学医院。
参与者
413名因除有症状的子宫脱垂和子宫内膜异位症以外的良性疾病而接受子宫切除术的女性。
主要观察指标
报告的性快感、性活动及令人烦恼的性问题。
结果
所有患者的性快感均显著改善，与子宫切除术的类型无关。阴道子宫切除术、次全腹式子宫切除术和全腹式子宫切除术后六个月出现一种或多种令人烦恼的性问题的比例分别为43%（38/89）、41%（31/76）和39%（57/145）（卡方检验，P = 0.88）。
结论
阴道子宫切除术、次全腹式子宫切除术和全腹式子宫切除术后性快感均有所改善。三种手术方式在性活动中令人烦恼的问题的持续存在及发展情况相似。
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