子宫切除术后对性心理及排便功能影响的研究

目的：对子宫肌瘤患子宫切除后性心理情况进行分析比较，探讨术后患性心理及性功能改变及不同子宫切除术式对女性排便功能的影响。方法：对61例子宫肌瘤患分为A组36例(全子宫切除)和B组25例(筋膜内全子宫切除)，采用自制问卷对术后61例病人进行调查并作资料分析。结果：50．8％患术后对性生活有明显的焦虑和抑郁心理，45％有性欲下降，性生活质量下降，A、B两组无明显差异。45％有大便习惯改变，A组改变发生率显高于B组。结论：全子宫切除后对病人性心理有明显的影响，术前后心理卫生指导是病人术后顺利恢复的重要部分。对大便的影响与术式有关，因此，筋膜内全子宫切除是一种可选择的术式。

Effects of hysterectomy on psychology and defecation

Objective:To evaluate alteration of sexual function and defecation after hysterectomy with two different operation techniques. Methods: Total hysterectomy was performed in 31 patients(groupA) ,and inlrafascial hysterectomy was carried out in 31 patients. Alterations of sexual function and defecation after operation were investigated by using a questionnaire. Results : The incidence of anxiety and depression during intercourse was 50. 8% ; 45% of patients complained of decreased libido and decreased quality of coitus. There existed no signficant difference between group Aand B. The defecation habit was altered in 45% of cases. The incidence in group A was higher than in group B. Conclusion :The hysterectomy led to alteration of sexual function . It was necessary to give guidance of sexual surgery technique and intrafascial hysterectomy was a better choice.