不同术式子宫切除患者卵巢功能及生活质量的研究

Differences of ovarian function and quality of life for patients with different hysterectomies

目的观察良性病变不同术式子宫切除后患者性激素水平和生活质量，以选择一种对患者损伤小、不良反应少的手术方式。方法选择保留双侧子宫动脉上行支（ascending uterine artery，AUA）和子宫内膜的子宫楔形切除术患者30例为观察组，选同期全子宫切除术患者30例为对照组。分别比较2组患者手术前后血清性激素水平和性生活质量、泌尿系统症状及患者的心理变化。结果观察组患者手术前后性激素水平无变化，性生活未受影响，心理状态健康；对照组患者手术后6个月性激素水平下降，与观察组比较差异有统计学意义。对照组部分患者术后泌尿系统症状明显，性生活不适，有焦虑等心理障碍。结论子宫楔形切除术对患者损伤小、不良反应少，是治疗子宫肌瘤等良性病变的较适当的手术方法。

Objective In order to know the differences of ovarian function and quality of life for patients with different hysterectomies, and then carry out proper operational mode for different patients without adverse reaction. Methods Selected 30 patients as observational group, uterine cuniform remoral preserving two-side ascending uterine artery was used for them. There were 30 patients in control group, the total hysterectomy was used for them. Compared the changes of sexual hormoen level, sexual life quality, urinary system symptom and psychological level between the two groups. Results Before and after the operation, there was no significant difference in the observation group about sexual hormoen level, sexual life quality, urinary system symptoms and psychological level, while the differences in control group were significant. Conclusion Uterine cuniform removal is proper operative mode for patients with little injury and little adverse reaction.