保留子宫动脉子宫大部切除术在临床的应用

Application on hysterectomy of large partial excision of uterine body with uterine artery

目的探讨保留子宫动脉的大部分子宫切除术在临床中的应用价值。方法对30例患者行保留子宫动脉的大部分子宫切除术（实验组），与行传统腹式子宫次全切除术的30例患者（对照组）进行比较。结果实验组术中出血量和手术时间分别为73～97ml及60～84min，对照组术中出血量和手术时间为79～101ml及61～85min。两组术后出血时间和感染发生率相等。对照组术前、术后性激素E2水平从（598．18±16．82）pmol／L降低至（391．25±30．96）pmol／L，实验组则从（601．25±12．55）pmol／L增至（658．47±86．25）pmol／L。更年期症状发生率实验组为3．3％，对照组为13．3％。结论保留子宫动脉的大部分子宫切除术对卵巢功能影响小，是年轻子宫肌瘤患者的首选。

Objective To investigate the clinical value of application on hysterectomy of large partial excision of uterine body with uterine artery. Methods 30 patients were treated by hysterectomy of large partial excision of uterine body with uterine artery （study group）. 30 patients were treated by traditional abdominal subtotal hysterectomy as control. Results The volumes of blood loss and time of operation in the study group was 73-97 ml and 60-84 rain. The volumes of blood loss and time of operation in the control group was 79-101ml and 61-85 rain. The occurrence rates of the time of bleeding of postoperation and postoperative infection were equal between the two groups. The Serum hormone （Ez） level from preoperation to the twelfth month of postoperation was decreased from 598.18-16.82 pmol/L to 391.25 ±30.96 pmol/L in the eontrol group, but the serum hormone （E2） level is from 601.25i 12.55 pmol/L to 658.47± 86. 25 pmol/L in the study group. After postoperation, the occurrence rates of symptoms of climacteric were 3.3% in the study group, hut the occurrence rates of symptoms of climacteric were 13.3% in the control group. Conclusion The hysterectomy of Large partial excision of uterine body with uterine artery is slight influence s on ovarian function. It is should be firstly used for those young patients with hysteromyomas.