摘要
目的：观察保留子宫动脉、卵巢动脉、三角形次全切除子宫治疗顽固性功血的效果分析。方法：选择符合条件的功血患者42例，随即取样，研究组21例：采取保留子宫动脉、卵巢动脉、三角形次全切除子宫术式；对照组21例，采用常规的腹式全子宫切除术式。术后2年随访，比较两组病例经予同术式治疗后动脉卵巢功能及盆底功能的差异。结果：顽固性功血均治愈。研究组21例术后出现腰腹及阴道坠胀感占9．5％，需口服激素替代治疗占4．7％．对照组分别为80％及52．3％。结论：保留子宫动脉、卵巢动脉、三角形次全切除子宫治疗顽固性功血维持了盆底结构稳定性，保留了卵巢功能达到了治疗目的。值得临床推广和应用。
Objective： To observe the effect of retention of uterine, ovarian artery, subtotal triangle hysterectomy for treating intractableDUB.. Methods： Eligible patients with 42 cases of DUB, then were divided of 21 cases to take retained uterine artery, ovarian artery, triangular surgical subtotal hysterectomy; the con＇trol group of 21 cases were given the conventional abdominal hysterectomy type. After 2 years follow-up, two groups of patients were compared to the same artery after surgical treatment of ovarian function and pelvic floor function differences. Results： intractable uterine bleeding were cured. Study group, 21 patients had waist and heavy feeling in the vagina, 9.5% of oral hormone replacement therapy to be 4.7%. The control group were 80% and 52.3%. Conclusion： The retention of uterine artery, ovarian artery, triangular subtotal hysterectomy for intractable pelvic DUB maintain the structural stability, retention of ovarian function to achieve the treatment goal. Is worthy of promotion and application.
