探讨子宫切除术中同时进行双侧输卵管切除对卵巢功能的影响

To Investigate the Effect of Bilateral Fallopian Tube Resection on Ovarian Function in Hysterectomy

目的研究分析双侧输卵管切除在子宫切除手术中患者卵巢功能受到的影响。方法选取我院收治的164例子宫良性病变患者作为研究对象。将其分成对照组和观察组。对照组采用子宫切除手术,观察组采用双侧输卵管切除手术,对比分析两组患者围手术期各项指标,术后3个月和半年的卵巢癌复发情况。结果观察组术后排气时间、手术时间、出血量与对照组对比,差异无统计学意义(P>0.05)。与术前对比,术后患者激素指标出现的波动,组间数据对比,差异具有统计学意义(P<0.05)。术后3个月,两组患者各项指标对比,差异无统计学意义(P>0.05)。术后半年,对照组盆腔包裹性积液发生率为11/82(13.41%),观察组患者发生率为2/82(2.44%),组间数据对比,差异具有统计学意义(P<0.05)。结论子宫良性病变患者接受子宫切除联合双侧输卵管切除手术效果显著。

Objective To investigate the effect of bilateral tubal hysterectomy on ovarian function in hysterectomy. Methods 164 cases of benign uterine lesions in our hospital were selected as the study objects. They were divided into the control group and the observation group. The control group was treated with hysterectomy, bilateral fallopian tube resection was used in the observation group. The recurrence of ovarian cancer in the two groups was analyzed and compared between 3 months and 6 months after operation. Results The postoperative exhaust time, operation time and bleeding volume of the observation group compared with the control group, the difference was not statistically significant （P 〉 0.05）. Compared with the preoperative, the fluctuation of the hormone index in the patients after operation, the difference between the two groups was statistically significant （P 〈 0.05）. At 3 months after operation, there was no significant difference between the two groups （P〉 0.05）. 6 months after operation, the incidence of Encapsulated Effusion in the control group was 11/82 （13.41%）, and the incidence rate of the observation group was 2/82 （2.44%）, the difference between the two groups was statistically significant （P 〈 0.05）. Conclusion Patients with uterine benign lesion underwent hysterectomy with bilateral tubal resection surgery better.