子宫次全切除术中保留子宫动脉上行支对卵巢功能的影响分析

Exploration of influence of preservation of uterine artery ascending branch in subtotal hysterectomy on ovarian function

目的探讨保留子宫动脉上行支的子宫次全切除术对卵巢功能影响的程度。方法分析2005年5月～2011年12月在本院妇科接受子宫次全切除并保留子宫动脉上行支手术85例(治疗组),和同期接受传统的子宫次全切除的82例患者(对照组),比较两组手术时间、出血量;术后6个月抽空腹静脉血查FSH、LH、E2,观察手术前后的变化及绝经综合征发生率。结果两组手术时间、出血量差异有显著性(P<0.05),治疗组手术后FSH、LH、E2无明显改变,绝经综合征发生率较对照组低。结论保留子宫动脉上行支的子宫次全切除术近期对卵巢功能影响小,绝经综合征发生率低。

Objective To investigate the influence of the subtotal hysterectomy preserving uterine artery ascending branch on the ovarian function. Methods 85 patients （ treatment group ） who received the subtotal hysterectomy preserving uterine artery ascending branch and 82 patients （ control group ） who received the traditional subtotal hysterectomy in the gynaecological department of our hospital from May 2005 to December 2011 were selected. The operative time and blood loss of the two groups were compared. The fasting intravenous blood was drawn 6 months after the surgery to examine the FSH, LH and E2 and their changes and the incidence of menopausal syndrome after the surgery were observed. Results The two groups were significantly different in the operative time and blood loss （P 〈 0.05）. The postoperative FSH, LH and E2 of the treatment group did not change significantly and its incidence of menopausal syndrome was lower than that of the control group. Conclusion The subtotal hysterectomy preserving uterine artery ascending branch has little recent influence on the ovarian function and low incidence of menopausal syndrome.