中文摘要：

目的：通过对子宫腺肌病患者手术前后性功能的评价，比较经阴道全子宫切除术、子宫动脉栓塞术和腹腔镜下子宫腺肌病病灶切除术对患者性功能的影响。方法：选取佛山市妇幼保健院2011年8月至2013年6月因子宫腺肌病需手术治疗的患者共75例。经阴道全子宫切除术组、子宫动脉栓塞术组和腹腔镜下子宫腺肌病病灶切除术组各25例，应用女性性功能量表（FSFI）对患者分别在术前、术后3个月及术后1年的性功能进行评分。结果：术前3组患者的性功能评分无统计学差异（P〉0．05）。术后3个月，子宫动脉栓塞组的性功能评分高于全子宫切除组，差异有统计学意义（P〈0．05）；但与病灶切除组相比差异无统计学意义（P〉0．05）。术后1年，子宫动脉栓塞术组的性功能评分高于全子宫切除组和病灶切除组，差异均有统计学意义（P〈0．05）。结论：子宫动脉栓塞术较全子宫切除术和子宫腺肌病病灶切除术对子宫腺肌病患者的性功能有保护性的作用。

英文摘要：

Objective：To evalue and compare the influence to sexual function of patients after different operation methods（total hysterectomy,uterine arterial embolization or adenomyosis lesion resection） to treat adenomyosis.Methods：75 patients with adenomyosis from Foshan Women and Children Hospital were picked out during August 2011 to June 2013.They were divided into 3 groups.25 of them were operated by total hysterectomy,the other 25 of them were operated by Uterine arterial embolization,and the remaining25 of them were oprated by adenomyosis lesion resection.Sexual functions of the 75 patients were evalued by Female Sexual Function Scale（FSFI）before operating,3 months after operation and 1 year after operation.Results：There is no statistical difference among the3 group of patients＇ sexual function before operating（p〉0.05）.3 months after operation,FSFI score of uterine arterial embolization group was statistically higher than total hysterectomy group（P〈0.05）,but which had no statistical difference with group by adenomyosis lesion resection（p〉0.05）.1 year after operation,FSFI score of uterine arterial embolization group was statistically higher than total hysterectomy group（P〈0.05） and group by adenomyosis lesion resection（P〈0.05）.Conclusions：Uterine arterial embolization is more protective to Sexual Function of Patients after Operation on Adenomyosis than total hysterectomy or adenomyosis lesion resection.