保留子宫动脉上行支的子宫切除术与全子宫切除术对卵巢功能的影响

Effects of reserving ascending uterine artery for hysterectomy and total hysterectomy on ovarian function

目的:探讨不同的子宫切除方式对卵巢功能的影响。方法:子宫肌瘤患者术前未用激素治疗,术后自愿接受二次生殖内分泌检测。按手术方式的不同分为两组:A组行保留子宫动脉上行支的子宫切除术;B组行子宫全切除术。比较两组手术前后围绝经期综合征发生率的差异。结果:两组患者术前围绝经期症状的发生率差异无统计学意义(P>0.05);术后B组围绝经期症状的发生率较A组高(P<0.05)。结论:子宫动脉上行支对卵巢功能影响较大,保留子宫动脉上行支的子宫切除术是尽可能维持女性卵巢内分泌机能的一种手术方式。

Objective：To explore the effects of different methods for hysterectomy on ovarian function. Methods：The patients with hysteromyoma didn＇t apply hormonotherapy before operation,and they received reproductive endocrine detection twice after operation voluntarily.All the patients were divided into two groups according to operative method： the patients in group A were treated with reserving ascending uterine artery for hysterectomy,while the patients in group B were treated with total hysterectomy.The incidences of perimenopausal syndrome in the two groups were compared. Results：There was no significant difference in the incidence of perimenopausal symptoms between the two groups before operation（P〈0.05）;after operation,the incidence of perimenopausal symptoms in group B was significantly higher than that in group A（P〈0.05）. Conclusion：Reserving ascending uterine artery has large impact on ovarian function,reserving ascending uterine artery for hysterectomy is a surgical method to maintain female ovarian endocrine function to the greatest extent.