Kilkku P, Lehtinen V, Hirvonen T, Grönroos M
Department of Obstetrics and Gynecology, University Central Hospital, Turku, Finland.
Ann Chir Gynaecol Suppl. 1987;202:62-7.
In the present study, the psychic complaints after abdominal hysterectomy (n = 105) and supravaginal uterine amputation (n = 107) are investigated. The first author interviewed personally all the subjects preoperatively and 6 weeks, 6 months, 1 year and 3 years postoperatively. The proportion of subjects without psychic symptoms increased from 49.5% to 67.7% in the hysterectomy group (p less than 0.01) and from 53.3% to 76.8% in the amputation group (p less than 0.001). The difference between the groups at 3 years phase was significant (p less than 0.01). From the single symptoms, nervousness or irritability and depression, decreased during the follow-up period significantly in the amputation group but not in the hysterectomy group. The results clearly indicate that the view of an increased risk for depression or other psychic complications after removal of the uterus should be revised. On the other hand, the results support our earlier findings that supravaginal uterine amputation is still an applicable method in benign conditions.
在本研究中，对接受腹式子宫切除术（n = 105）和经阴道子宫次全切除术（n = 107）后的精神方面主诉进行了调查。第一作者在术前以及术后6周、6个月、1年和3年亲自对所有受试者进行了访谈。子宫切除组中无精神症状受试者的比例从49.5%增至67.7%（p < 0.01），经阴道子宫次全切除组中这一比例从53.3%增至76.8%（p < 0.001）。两组在3年阶段的差异具有统计学意义（p < 0.01）。就单一症状而言，经阴道子宫次全切除组在随访期间紧张或易怒以及抑郁症状显著减轻，而子宫切除组则不然。结果清楚表明，子宫切除术后抑郁或其他精神并发症风险增加的观点应予以修正。另一方面，这些结果支持了我们之前的发现，即经阴道子宫次全切除术在良性疾病中仍是一种可行的方法。
