Quality Of Life In Patients Suffered From LAVH By The Chinese Version Of SF-36

Introduction:Hysterectomy is one of the most commonly gynecological performed operations, which is performed for functional uterine bleeding, hysteromyomas, uterus prolapse, adenomyosis, pelvic pain, precancerous lesion and early stage of maniglant uterine tumors. It ranks second among all major gynecological operations in the United States. It has been estimated that about one third of women will have undergone hysterectomy by the age of 65 years, In Sweden and United Kingdom , 6~8‰ women receive hysterectomy annually and the number of our courtry is 1 million.Tranditionally, hysterectomy is performed abdominally or vaginally. As increasing interest in laparoscopic hysterectomy has occurred since it was first reported in 1989 by Reich H. It presents more and more advantages over conventional abdominal hysterectomy .They are the avoidance of a large abdominal incision, reduction of postoperative pain and decreasing intraoperative blood loss, shortening of hospital stay and a quicker return to normal activities. So more and more gynecologists and patients would receive laparoscopical hysterectomy. It is a safe, reliable and mini-invasive operation in the treatment of some gynecological diseases, and has predictable outcome.Quality of life is a new conception going withbiology-psychology-social medical pattern changing. So people are looking for a method to messure this. SF-36 is such a tool, which is simple but effective. So it was used abroadly by international medical organization. It has 36 short items for investigation. Recently, it has been widely used in many fields by lots of international orgnization, but there' s no data about it in gynecological disease especial in women with LAVH.Objectives:To discuss quality of life of patients suffered from LAVH, and to investigate the feasibilility and safety of laparoscopic management of women with benign gynecological diseases, and to observe the operative clinical effction, and also present a new method for quality of life messurement.Methods:Design: A prospective clinical study. Setting: The Af iliated Sir Run Run Shaw Hospital of Zhejiang University. Samples:A number of 160 cases underwent the procedure by laparoscopic assisted vaginal hysterectomy for benign gynecological diseases from July 2003 to March 2005 was recruited. Main outcome measures: Concerning the 36 items listing by SF-36. Statifical analysis:The statistical SPSS with version 12.0 was used methods included t test or one-way ANOVA for data for mean comparison, chi-square test for enumeration data. A lvalue less than 0.05 was considered significant.Results:160 women of 175 completed the survey before and after the operation, the ratio is 91.42%. No obvious difference between their age, status ofmarriage, income, education and disease. SF-36 which was applied has good validity, reliability and responsiveness. We can observe significant difference in PF, RP, BP, GH, SF and MH before the operation and 6 months after the operation. And also, the operative age, status of marriage, income, education and disease has some infection on their quality of life.Conclusions:Laparoscopic assisted vaginal hysterectomy is a safe procedure and it has many advantages for more application.The SF-36 used for quality of life messurement is suitable and effective. Patients with LAVH got a better prognosis after the operation.