论文部分内容阅读
目的探讨经腹保留子宫动脉上行支(UAU)大部分子宫体切除术对卵巢功能及预后的影响。方法选取2009年2月-2014年8月该院入院行单纯子宫切除术患者280例为研究对象,随机分3组,实验组行保留UAU大部分子宫体切除术,对照1组行传统的经腹子宫次切除术,对照2组行经腹子宫全切除术。观察3组手术各项指标及术后各组患者的卵巢功能及预后状况。结果与对照组相比,实验组术后腰腹痛、排尿排便异常及术后病率显著下降,差异有统计学意义(P<0.05)。对照组术后卵泡生长激素(FSH)较术前有明显的升高,雌二醇(E2)明显下降,差异有统计学意义(P<0.05)。实验组更年期症状发生率为8.70%,显著低于对照1组的25.30%,差异有统计学意义(P<0.01)。术后实验组性生活满意度69.57%,显著高于对照1组的36.14%,差异有统计学意义(P<0.01)。结论保留UAU的大部分宫体切除术,能够改善卵巢功能,降低术后并发症和更年期并发症的发生、提高性生活满意度,值得临床推广。
Objective To investigate the effect of transabdominal retention of most uterine branches of uterine artery on ovarian function and prognosis. Methods Two hundred and eighty patients undergoing simple hysterectomy in our hospital from February 2009 to August 2014 were selected and randomly divided into three groups. Most of the uterus resections were performed in the UAU group while those in the control group 1 Abdominal uterine resection, control two groups of abdominal total hysterectomy. The indexes of operation and the ovarian function and prognosis of each group were observed after operation. Results Compared with the control group, the postoperative abdominal pain, urination and defecation abnormalities and postoperative morbidity in the experimental group were significantly decreased (P <0.05). The follicular growth hormone (FSH) in the control group was significantly higher than that before the operation and the estradiol (E2) was significantly decreased (P <0.05). The incidence of menopausal symptoms in the experimental group was 8.70%, which was significantly lower than that in the control group 1 (25.30%), the difference was statistically significant (P <0.01). The satisfaction rate of postoperative experimental group was 69.57%, which was significantly higher than that of control group 1 (36.14%), the difference was statistically significant (P <0.01). Conclusions The majority of uterine excisions reserved for UAU can improve ovarian function, reduce the incidence of postoperative complications and menopause complications and improve sexual life satisfaction, which is worthy of clinical promotion.