Pieringer W, Richter K, Mayer H G
Wien Klin Wochenschr. 1976 Nov 26;88(22):733-7.
The effects of hysterectomy on social and psychological behavioural changes were evaluated in 88 patients who were examined psychologically and somatically preoperatively and for a period of 5 to 6 months postoperatively. All patients were aware of the surgical consequences and were investigated in regard to social history and by means of psychological tests (HAWIE, MMPI, Rorschach). The personality profiles of these patients fell within the normal range, although showing a tendency towards psychosomatic alteration, which, however, decreased significantly after the operation. Hysterectomy does not appear to produce any clear-cut changes in the attitude toward sexuality according to the findings of this study. Neither the age at which sexual maturity was reached, nor the intelligence level, number of children, age nor social class appeared to show any significant influence on the capacity to achieve orgasm or the frequency of intercourse. Only three patients showed transient postoperative depression, although this is frequently described in the literature; its aetiology is discussed. The therapeutic approach, especially in the field of surgical gynaecology, must encompass every aspect of medicine and appropriate explanations of the surgical consequences should be given to the patients to prevent postoperative psychological complications.
对88例患者进行了子宫切除术对社会和心理行为变化影响的评估，这些患者在术前及术后5至6个月期间接受了心理和身体检查。所有患者均知晓手术后果，并接受了社会史调查及心理测试（HAWIE、明尼苏达多项人格测验、罗夏墨迹测验）。这些患者的人格特征处于正常范围，尽管有身心改变的倾向，但术后这种倾向显著降低。根据本研究结果，子宫切除术似乎并未对性态度产生任何明显变化。性成熟年龄、智力水平、子女数量、年龄及社会阶层似乎均未对性高潮能力或性交频率产生显著影响。仅有3例患者术后出现短暂抑郁，尽管文献中对此常有描述；文中对其病因进行了讨论。治疗方法，尤其是在妇科手术领域，必须涵盖医学的各个方面，并且应向患者适当解释手术后果，以预防术后心理并发症。
