Slevers S, Köhler C O
Geburtshilfe Frauenheilkd. 1977 Feb;37(2):115-23.
Psychological and sexual sequelae of hysterectomy were studied in 1007 cases between 1 1/2 and 8 years following the operation. Younger women had more often vaginal and older women more ofter abdominal hysterectomies. 78% of the patients thought they had been fully informed about the operation. 4.1% of the patients regretted the hysterectomy. 8% of the patients regretted the loss of menstruation. Most of these did not think they were fully informed. Full information on the type of operation can reduce negative postoperative sequelae. As many patients gained as lost weight following the hysterectomy. Postoperative coital difference did not show any relationship to the type of hysterectomy. In 57% of the cases, improvement occured one year later and in 10% of the cases improvement occurred 2 years later. Sexual relationships were not adversely affected by hysterectomy. Deterioration of the sexual relationship regarding libido and frequency of orgasms was a more frequent complaint in the control group. Improvement of libido and frequency of organsms can still occur 2 years following hysterectomy. Covert and overt depression was as frequent in the hysterectomized group as in the control group. The adverse effects of sterilization by tubal ligation were identical to those found in our group of hysterectomies according to the literature. Therefore we prefer vaginal hysterectomy for voluntary sterilization to tubal ligation.
对1007例子宫切除术后1.5至8年的患者进行了心理和性方面后遗症的研究。年轻女性更常接受阴道子宫切除术，而老年女性更多接受腹部子宫切除术。78%的患者认为她们已充分了解手术情况。4.1%的患者后悔做了子宫切除术。8%的患者后悔月经消失，其中大多数人认为自己未得到充分告知。关于手术类型的充分信息可减少术后负面后遗症。子宫切除术后体重增加和减轻的患者数量相当。术后性交差异与子宫切除术类型无关。57%的病例在术后一年有所改善，10%的病例在两年后有所改善。子宫切除术未对性关系产生不利影响。在对照组中，关于性欲和性高潮频率的性关系恶化是更常见的抱怨。子宫切除术后两年仍可能出现性欲和性高潮频率的改善。子宫切除组中隐性和显性抑郁的发生率与对照组相同。根据文献，输卵管结扎绝育的不良影响与我们的子宫切除组相同。因此，对于自愿绝育，我们更倾向于阴道子宫切除术而非输卵管结扎术。
