诗里那林医院全腹子宫切除术后的性功能

Sexuality after total abdominal hysterectomy in Srinagarind Hospital.

作者信息

Punushapai Utumporn, Khampitak Kovit

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

出版信息

J Med Assoc Thai. 2006 Oct;89 Suppl 4:S112-7.

PMID:17726814

Abstract

OBJECTIVE

To determine the effects on sexuality after Total Abdominal Hysterectomy (TAH) in north-eastern Thai women.

DESIGN

Prospective descriptive study.

SETTING

Srinagarind Hospital, Faculty of Medicine, Khon Kaen University from December 2004 to May 2006.

MATERIAL AND METHOD

80 married women, equal or less than 45 years old, which indicated for TAH with or without unilateral salpingo-oophorectomy. All patients had to attend the first questionnaire before surgery. The second and third questionnaires would be collected by mail in 3 and 6 months after surgery.

MAIN OUTCOME MEASURES

Frequency of dyspareunia, sexual desire, coitus, masturbation, and the quality of sexuality after TAH.

RESULTS

The frequency of dyspareunia was decreased from 91.25% before TAH to 5% in 6 months after TAH (95% CI 1.19-1.61, p < 0.05). The frequency of sexual desire was increased from 55% before TAH to 88.75% in 6 months (95% CI 0.22-0.61, p < 0.05). The frequency of coitus was increased from 38.75% before TAH to 96.25% in 6 months after TAH (95% CI 0.54-0.98, p < 0.05). Normal sexual relations were increased from 53.8% before TAH to 85% in 6 months after TAH (95% CI 0.20-0.47, p < 0.05).

CONCLUSION

Sexuality was significantly improved overall after TAH and these might be the strong positive effects of TAH on sexual function.

摘要

目的

确定泰国东北部女性全腹子宫切除术后对性功能的影响。

设计

前瞻性描述性研究。

地点

孔敬大学医学院诗里拉吉医院，2004年12月至2006年5月。

材料与方法

80名45岁及以下的已婚女性，因各种原因需行全腹子宫切除术，可选择同时或不同时切除单侧输卵管卵巢。所有患者在手术前需完成第一份问卷。术后3个月和6个月通过邮件收集第二份和第三份问卷。

主要观察指标

性交困难频率、性欲、性交、自慰以及全腹子宫切除术后的性功能质量。

结果

性交困难频率从全腹子宫切除术前的91.25%降至术后6个月的5%（95%可信区间1.19 - 1.61，p < 0.05）。性欲频率从全腹子宫切除术前的55%增至术后6个月的88.75%（95%可信区间0.22 - 0.61，p < 0.05）。性交频率从全腹子宫切除术前的38.75%增至术后6个月的96.25%（95%可信区间0.54 - 0.98，p < 0.05）。正常性关系比例从全腹子宫切除术前的53.8%增至术后6个月的85%（95%可信区间0.20 - 0.47，p < 0.05）。