背景:本研究旨在评估接受腹式全子宫切除术和腹腔镜全子宫切除术的女性的生活质量(QoL)和性功能。
方法:在这项前瞻性队列研究中,共有121例接受了全腹子宫切除术的患者(N。=65)和全腹腔镜子宫切除术(N。=56)包括良性适应症的手术。社会人口学特征,产科历史,并记录患者的临床特征。采用世界卫生组织BREF生活质量问卷进行生活质量评估,它有五个领域:整体生活质量+健康,身体健康,心理健康,社会关系,和环境。通过Golombok-Rust性满意度量表评估性功能,并带有频率不高的分量表,非通信,回避,非感性,不满,阴道痉挛,和性高潮。要求患者在手术前和手术后六个月填写问卷。
结果:在121例患者中,其中104人完成了术后调查。在全腹腔镜子宫切除术组中,个人整体生活质量的改善+身体健康,和心理健康领域在统计学上高于全腹子宫切除术组。在性功能方面,全腹全子宫切除术组的回避率较差,非感性,不满,与全腹腔镜子宫切除术组相比,术前和术后的阴道斜视子量表评分和总分。然而,两组患者的个体差异和手术前后出现性功能障碍的患者数量无统计学意义.
结论:腹腔镜子宫切除术在改善患者生活质量方面优于开腹子宫切除术。腹部和腹腔镜子宫切除术均未发现影响女性性行为。
BACKGROUND: This
study aimed to evaluate the quality of life (QoL) and sexual function of women who underwent total abdominal hysterectomy and total laparoscopic hysterectomy.
METHODS: In this prospective cohort
study, a total of 121 patients who underwent total abdominal hysterectomy (N.=65) and total laparoscopic hysterectomy (N.=56) operations for benign indications were included. Sociodemographic features, obstetric histories, and clinical characteristics of the patients were noted. Quality of life assessment was conducted with the World Health Organization Quality of Life-BREF questionnaire, which has five domains: overall quality of life + health, physical health, psychological health, social relationships, and environment. Sexual function was assessed by the Golombok-Rust Inventory of Sexual Satisfaction Scale with subscales of infrequency, non-communication, avoidance, non-sensuality, dissatisfaction,
vaginismus, and anorgasmia. The patients were asked to fill in both questionnaires before the operation and six months after the operation.
RESULTS: Of the 121 patients, 104 of them completed the postoperative surveys. In the total laparoscopic hysterectomy group, the individual improvements of the overall quality of life + health physical, and psychological health domains were statistically higher than the total abdominal hysterectomy group. In terms of sexual function, the total abdominal hysterectomy group had worse avoidance, non-sensuality, dissatisfaction, and
vaginismus subscale scores and total score both in the preoperative and postoperative period compared to the total laparoscopic hysterectomy group. However, the individual differences and the number of patients exhibiting sexual dysfunction before and after surgery were not statistically significant in both groups.
CONCLUSIONS: Laparoscopic hysterectomy was superior to abdominal hysterectomy in improving the quality of life of the patients. Both abdominal and laparoscopic hysterectomies were not found to affect female sexuality.