子宫三角形切除术30例临床分析

Clinical analysis on 30 cases of uterous triangulate excision

目的:探讨子宫三角形切除术的临床效果。方法:选择子宫三角形切除术30例为观察组,同期采用筋膜内全子宫切除术患者30例作对照组;术前准备相同,前者于子宫体肌层注射含垂体后叶素0.9%氯化钠液减少出血,切除两侧子宫角内侧1 cm及子宫峡部组成的三角形区域,缝合创面。结果:观察组无1例原发病复发,性生活质量不受影响,术后病率明显降低(P<0.05);观察组术前、术后3月、术后6月血清FSH、LH、E2两两比较差异无统计学意义(P>0.05);观察组术后3月、术后6月血清FSH、LH含量均较对照组低,差异有统计学意义(P<0.05),E2含量均较对照组高,差异有统计学意义(P<0.05)。结论:子宫三角形切除术术后恢复好,对卵巢功能影响小,保障了患者生活质量。

Objective：To explore the clinical effect of uterous triangulate excision.Methods： 30 cases of uterous triangulate excision were selected as observation group and 30 cases with total uterous excision as control group.With the same preparation,the observation group was injected oxytocin in order to reduce bleeding.The triangulate area,including 1 cm of double uterous angle and uterous gorge were excised with the wound stitched.Results： No case relapse and there was not any affect on sex life in observation group.The onset of disease was remarkable lower（P0.05）.Serum FSH,LH and E2showed no changes before and in 3 and 6 months after operation（P0.05）.Serum FSH and LH levels were lower in 3 and 6 months after operation as compared with that of control group（P0.05）.E2contents were higher than that of control group（P0.05）.Conclusion：The recovery is satisfied in patients of uterous triangulate excision.The affect on ovary is less and insure the life quality.