摘要
目的记录同时切除全子宫及双侧输卵管围绝经期妇女的手术前后的改良Kupperman评分,观察手术切除对妇女近期围绝经期症状的影响。方法回顾性分析2016 年1月1~2018年12 月我院行经腹腔镜全子宫及双侧输卵管切除的围绝经期患者,记录患者术前术后患者改良Kupperman评分表。再根据获得完整资料的72例患者的年龄,分为A组45岁≤年龄<50岁,共42例,B组50岁≤年龄≤55岁,共30例,再次分析Kupperman评分值有无变化。结果术后改良Kupperman评分明显高于术前,但差异无统计学意义(t=10.366,P=0.052),细化年龄后,发现年龄<50岁者术前Kupperman评分明显低于术后,差异有统计学意义(t=11.89,P=0.018);而年龄>50岁组,术前Kupperman评分与术后平相比,差异无统计学意义(t=0.091,P=0.343)。其中性生活质量下降与术前相比,差异有统计学意义(P<0.05)。结论年龄<50岁的围绝经期患者行全子宫双输卵管切除后可能会加重妇女的围绝经期症状。
Objective To record the modified Kupperman scores before and after surgery in women with perimenopausal uterus and bilateral salpingectomy,and to observe the effect of surgical resection on women's recent perimenopausal symptoms.Methods The peri-menopausal patients who underwent laparoscopic uterine and bilateral salpingectomy in our hospital from January 2016 to December 2018 were retrospectively analyzed.The modified Kupperman score for patients before and after surgery was recorded.According to the age of 72 patients who obtained complete data,the patients were divided into group A(45 years old≤age<50,n=42),and group B (50 years old≤age≤55,n=30).And the Kupperman score was analyzed again.Results Although the postoperative modified Kupperman score was significantly higher than that before surgery,the difference was not statistically significant(t=10.366,P=0.052).However,after refining the age,the preoperative Kupperman score in the patients with age <50 years old was significantly lower than that after surgery.The difference was statistically significant(t=11.89,P=0.018).There was no significant difference between the preoperative Kupperman score and postoperative level age>50 years group(t=0.091,P=0.343).Among them,the decline in sexual quality was significantly affected compared with that before operation (P<0.05).Conclusion Total uterus and bilateral salpingectomy in peri-menopausal patients who are younger than 50 years old may aggravate perimenopausal symptoms in women.
作者
林舟
刘林丽
林培红
赖雪丹
LIN Zhou;LIU Linli;LIN Peihong;LAI Xuedan(Department of Obstetrics and Gynecology,the First Hospital of Fuzhou City,Fujian Medical University,Fuzhou 350009,China)
出处
《中国现代医生》
2019年第21期66-69,共4页
China Modern Doctor
基金
福建省福州市科技计划项目(2017-S-129-3)
