Yazbeck C
Service de gynécologie-obstétrique, hôpital Bichat-Claude Bernard, 46, rue Henri Huchard, 75018 Paris, France.
Gynecol Obstet Fertil. 2004 Jan;32(1):49-54. doi: 10.1016/j.gyobfe.2003.10.026.
This paper examines the evidence about the impact of hysterectomy on one aspect of quality of life, sexuality.
A systematic review of the French and English language literature was conducted using the search terms "sexuality", "hysterectomy", "libido", and "orgasm".
Twenty-one studies were found, ten prospective and 11 retrospective. Outcome measures were mostly postoperative libido and orgasm. Most studies did not consider important confounding factors. The majority of authors found either no change or an enhancement of sexuality in women who had an hysterectomy.
The majority of research evaluating the effect of hysterectomy on sexuality was poorly designed. The available evidence shows that hysterectomy did not adversely affect sexuality. A number of confounding factors should be taken into account in future studies. The role of the gynecologist in the preparation to this kind of operations is very important.
本文探讨子宫切除术对生活质量的一个方面即性功能的影响的相关证据。
使用搜索词“性功能”“子宫切除术”“性欲”和“性高潮”对法语和英语文献进行系统综述。
共找到21项研究，其中10项前瞻性研究和11项回顾性研究。结果指标主要是术后性欲和性高潮。大多数研究未考虑重要的混杂因素。大多数作者发现接受子宫切除术的女性性功能无变化或有所改善。
大多数评估子宫切除术对性功能影响的研究设计不佳。现有证据表明子宫切除术不会对性功能产生不利影响。未来研究应考虑一些混杂因素。妇科医生在这类手术的准备过程中的作用非常重要。
