子宫切除术对生存质量的影响

目的：研究子宫切除术对生存质量的影响。方法：对108例因良性疾病而行腹式子宫切除术者进行前瞻性队列研究，术前及术后3，6，12个月进行调查问卷，观察症状、泌尿及胃肠功能、性功能、心理状况、社会生活状态的变化。结果：子宫切除术后3个月症状、压抑、焦虑程度减轻，社会生活状态显著提高，泌尿及胃肠功能、性功能无改变，这些改善持续至术后12个月。结论：子宫切除术可有效缓解妇科良性疾病所产生的症状，症状的缓解有利于改善生存质量。大多数因妇科良性疾病而行腹式子宫切除术的妇女，在术后1年，生存质量提高。

Quality of Life After Hysterectomy

Objective: Our aim was to compare the quality of life before and after hysterectomy. Methods:In this prospective study, data were collected before and 3, 6, 12 months after hysterectomy in 108 women undergone hysterectomy for gynecologic benign diseases at our department from July 2000 to February 2001. The change in general health status, symptoms, urinary and bowel function, sexual function, psychological function, and social behavior were investigated. Results:There were no significant changes in urinary and bowel function and sexual function before and after hysterectomy. Symptoms, psychological function, and social behavior were improved after hysterectomy. These improvements persisted to 12 months after hysterectomy. Conclusion:Hysterectomy is highly effective for relief of symptoms associated with nonmalignant gynecologic diseases. Relief of symptom after hysterectomy helps improving the quality of life.