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目的:分析子宫肌瘤采用不同手术方式治疗对内分泌状态的影响。方法:选取该院收治的子宫肌瘤患者70例,将其按照不同手术方式分为子宫肌瘤剥除术组与子宫全切术组各35例,比较两组患者术前、术后内分泌性激素E2、P、LH及FSH的水平。结果:子宫全切术组患者术后的LH、FSH水平明显高于子宫肌瘤剥除术组,E2水平明显低于子宫肌瘤剥除术组(P<0.05)。结论:不同手术方式对内分泌状态的影响各有相同,子宫肌瘤剥除术较轻,临床治疗应结合实际情况首选子宫肌瘤剥除术,以保持卵巢功能,减缓内分泌功能老化。
Objective: To analyze the effect of different surgical methods on endocrine status of uterine fibroids. Methods: Seventy patients with uterine leiomyoma admitted to our hospital were selected and divided into 35 cases according to different operation methods, and 35 cases were treated by uterine myomectomy and hysterectomy. The preoperative and postoperative endocrine hormones E2, P, LH and FSH levels. Results: The levels of LH and FSH in the hysterectomy group were significantly higher than those in the hysteromyoma group, and the E2 level was significantly lower than that in the hysteromyoma group (P <0.05). Conclusion: Different surgical methods have the same effect on the endocrine state. The hysterectomy of uterine fibroids is relatively mild. Clinical treatment should be the first choice of uterine fibroids stripping in order to maintain ovarian function and slow down the aging of endocrine function.