不同次全子宫切除术对患者内分泌及围绝经期综合征的影响

Effect of Different Partial Hysterectomy on Endocrine and Perimenopausal Syndrome

目的探讨不同的次全子宫切除术对患者内分泌及围绝经期综合征的影响。方法对我院收治的行子宫次全切除术的患者采用不同的子宫次全切除术并进行追踪随访,观察其对患者内分泌及围绝经期综合征的影响。结果观察组患者术后1年卵泡刺激素、黄体生成素、雌二醇水平均优于对照组,两组比较差异具有统计学意义(P<0.05)。所有患者随访1年以上,其中对照组患者术后1年9例(30.00%)出现围绝经期综合征症状;观察组患者术后3年2例(6.67%)出现围绝经期综合征症状。结论改良次全子宫切除术效果优于传统次全子宫切除术,值得临床推广应用。

Objective To investigate the effect of different partial hysterectomy on patients with endocrine and perimenopausal syndrome. Methods 60 cases with different partial hysterectomy were followed up, and the effect of different partial hysterectomy on endocrine and perimenopausal syndrome was evaluated. Results The levels of follicle stimulating hormone, luteinizing hormone and estradio after one year in the observation group were superior to those in the control group, and there were significant difference between the two groups （P 0.05）. All patients were followed up for more than one year, and there were 9 cases （30.00%） with perimenopausal syndrome in the control group but 2 cases （6.67%） with perimenopausal syndrome three years after operation in the observation group, and there was significant difference between the two groups （P 0.05）. Conclusion Modified partial hysterectomy has better effect than normal partial hysterectomy, which is worthy of clinical application.