保留子宫动脉上行支的子宫切除术临床研究

Clinical study on preserving the ascending uterine artery in hysterectomy

目的 探讨保留子宫动脉上行支子宫切除术的临床价值。方法 对比分析保留子宫动脉上行支子宫切除术(试验组)与传统腹式子宫次全切除术或全切除术(对照组)的临床效果。结果 对照组术后血清FSH、E2与术前相比,差异有统计学意义(P<0.05)。两组更年期症状发生率差异有统计学意义(P<0.05)。两组手术时间、术中出血量、术后出血量差异无统计学意义(P>0.05)。结论 保留子宫动脉上行支子宫切除术对卵巢功能影响小,安全易行,是低龄子宫良性病变患者的首选术式。

Objective To investigate the clinical value of preserving the ascending uterine artery in hysterectomy. Methods 50 patients were treated by hysterectomy of preserving the ascending uterine artery（ study group） ,50 patients were treated by traditional abdominal subtotal hysterectomy （ control group）. Results There were significant differences in FSH and E2 of the control group （ P 〈 0. 05 ）. There were significant differences between the menopausal symptoms incidence of the two groups （ P 〈 0. 05 ）. There were no significant differences between the two groups in the time of operation, the volumes of blood loss in intraoperative and postoperation （ P 〉 0. 05 ）. Conclusion The hysterectomy of preserving the ascending uterine artery has slight influences on ovarian function. It is safely and easily and should be firstly used for young patients with benign uterus lesion.