全子宫切除术同时行双侧输卵管切除对卵巢功能的影响

目的：对进行全子宫及双侧输卵管切除术和单纯全子宫切除术后,2者对影响卵巢功能的探讨.方法：选取 2014.07-2015.06 在我院行全子宫切除术的子宫良性病变患者96例.将其随机分为对照组48例——行全子宫切除术和观察组48例-全子宫切除同时行双侧输卵管切除术.观察患者在术前和术后1年出现围绝经期症状和各项性激素水平（FSH、LH、E2）的比较. 结果：2组子宫良性病变患者术后1年的促卵泡激素和促黄体生成素水平出现不同程度的升高,雌二醇水平出现不同程度的下降,与同组术前相比（P〈0.05）.但观察组和对照组对比之间,术后的激素水平（FSH、LH、E2）及围绝经期症状,比较无明显差异 （P 〉0.05）.结论：2种手术均会影响卵巢功能,出现不同程度的围绝经期症状,但全子宫切除术同时行双侧输卵管切除对比单纯行全子宫切除术并不会增加对患者卵巢功能的影响,而且可以减少输卵管癌、卵巢癌等疾病的发生.

Objective：To carry out hysterectomy and bilateral salpingo resection and simple total hysterectomy, 2 person discussion of the impact of ovarian function.Methods：Select 2014.07-2015.06 in our hospital hysterectomy in 96 patients with benign uterine disease.Randomly divided into a control group of 48 patients undergoing total hysterectomy-and observation group of 48 patients-while hysterectomy bilateral salpingectomy.Observed in patients 1 year after surgery and perimenopausal symptoms and compare the levels of sex hormones （FSH, LH, E2） appears before surgery.Result：2 postoperative benign uterine lesions 1 year follicle-stimulating hormone and luteinizing hormone levels with varying degrees of elevated estradiol levels appear different degrees of decline, compared with the same group before surgery （P〈0.05 ）.But between the observation group and the control group compared hormone levels （FSH, LH,E2） and postoperative perimenopausal symptoms,no significant difference（P〉0.05）.Conclusion：The two kinds of surgery can affect ovarian function,perimenopausal symptoms to varying degrees, but hysterectomy bilateral salpingo resection simultaneously simple comparison with total hysterectomy does not increase the impact on ovarian function, and you can reduce the incidence of fallopian tube cancer, ovarian cancer and other diseases.