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目的 :比较子宫次全切术与子宫腺肌症病灶切除术治疗子宫腺肌症的疗效及对卵巢功能的影响。方法 :80例子宫腺肌症患者分2组分别采取子宫次全切术(对照组)、子宫腺肌症病灶切除术(研究组)治疗,随访半年,对两种术式的疗效及其对卵巢功能的影响作出评价。结果 :两组术前、术后3个月、术后6个月痛经次数、月经量、子宫体积逐渐降低,差异具有统计学意义,术前痛经次数、月经量、子宫体积组间差异无统计学意义,术后3、6个月对照组痛经次数、月经量、子宫体积均高于研究组相应水平,差异具有统计学意义;两组术前、术后3个月、术后6个月FSH、LH、E2水平变化无统计学意义,两组FSH、LH、E2水平在术前、术后3个月、术后6个月组间差异无统计学意义。结论 :治疗子宫腺肌症,二者短期内均对卵巢功能无影响,但子宫腺肌症病灶切除术的效果要比子宫次全切术更胜一筹,但其远期效果还需进一步观察。
Objective: To compare the efficacy of subtotal hysterectomy and adenomyosis resection for treatment of adenomyosis and ovarian function. Methods: Eighty patients with adenomyosis were divided into two groups and received subtotal hysterectomy (control group) and adenomyosis resection (study group) respectively. The follow-up period was six months. The effect of ovarian function was evaluated. Results: The numbers of dysmenorrhea, menstrual flow and uterine volume decreased gradually in preoperative, postoperative 3 months and postoperative 6 months, the difference was statistically significant, there was no statistical difference between preoperative dysmenorrhea, menstrual flow and uterine volume Significance, the number of dysmenorrhea, menstrual volume and uterus volume in the control group were higher than those in the study group at 3 and 6 months after operation, the difference was statistically significant; the preoperative and postoperative 3 months and 6 months The levels of FSH, LH and E2 had no statistical significance. There was no significant difference in FSH, LH and E2 levels between the two groups before surgery, 3 months and 6 months after operation. Conclusion: The treatment of adenomyosis, both short-term effects on ovarian function, but the effect of adenomyosis resection than subtotal hysterectomy better, but its long-term effect needs further observation.