围绝经期女性子宫肌瘤转归影响因素及生活质量分析

目的:回顾性研究影响围绝经期子宫肌瘤患者转归的因素,分析手术治疗组及非手术治疗组生存质量上的差异,为此类患者治疗方案的选择提供依据.方法:随机选取在2012年—2021年于上海市静安区中心医院及复旦大学附属妇产医院就诊的围绝经期最大肌瘤直径在2～5 cm的女性中符合标准的320例患者.患者均完成调查问卷,按最后一次随访...

Analysis of the influencing factors and quality of life of perimenopausal women with uterine fibroids

To retrospectively study the factors affecting the outcome of perimenopausal patients with uterine fibroids, and to analyze the differences in the quality of life of the non-surgical treatment group, so as to provide the basis for the selection of treatment options for such patients.Methods:In 2012-2021, 320 female patients with perimenopausal maximum fibroid diameter of 2-5 cm who visited our hospital and Obstetrics and Gynecology Hospital of Fudan University were randomly selected and included in the study. 100% completed the questionnaire and were divided into surgical intervention group and non-surgical intervention group according to the outcome of the last follow-up. Medical history data were entered in the form of questionnaire. Menopausal Greene scale was used to assess the quality of life. Enumeration data were analyzed by X2 test, univariate and multivariate logistic regression analysis. The test level was a = 0.05. P < 0.05 was considered statistically significant.Results: 33.4% of the patients chose surgical treatment, and a total of 13 items such as underlying diseases, years of fibroid discovery, and tumor location were the influencing factors for patients to choose surgery or not, P < 0.05, with a statistically significant difference. Satisfaction with sexual life was higher in the non-surgical group than in the surgical group (P= 0.005).Conclusion: The choice of surgical treatment for perimenopausal patients with uterine leiomyomas is affected by a variety of factors.There was no significant difference in the impact of quality of life between the two treatment modalities except sexual satisfaction. The treatment plan should be individualized according to the characteristics of patients'' medical history in clinical practice.