分析不同手术方式治疗子宫肌瘤对内分泌的影响

Analysis of Different Surgical Treatment on Endocrine Effects of Uterine Fibroids

目的探究不同手术方式治疗子宫肌瘤对内分泌的影响。方法选取本院2015年9月—2016年9月的240例子宫肌瘤患者作为研究对象,通过随机数字表法将其分为剥除组、部分切除组以及全部切除组,每组患者均有80例。将三组患者的情况进行记录,并对比其内分泌情况。结果术后三组的收缩期最大血流速度以及舒张末期最小血流速度均低于术前,但其阻力指数以及脉搏指数高于术前。并且部分切除组以及全部切除组雌二醇水平低于剥除组。结论三种方法中子宫肌瘤剥除术不仅对患者的损伤小,还能够良好的帮助患者提高疗效,并且不会对妇科内分泌状态造成较大影响。

Objective To explore the influence of different surgical treatments on endocrine function of uterine fibroids. Methods 240 patients with uterine fibroids in our hospital from September 2015 to September 2016 were selected as the research object, divided into the stripping group, partial resection group and total resection group by random number table method, each group had 80 cases. The three groups of patients were recorded, and the endocrine situation was compared. Results The maximal systolic blood flow velocity and the minimum end diastolic velocity of the three groups were lower than those before the operation,But the resistance index and pulse index were higher than those before operation. The levels of estradiol in the partial resection group and the total resection group were lower than those in the stripping group. Conclusion The three methods of uterine fibroids stripping not only for patients with small injury, but also can help patients improve the curative effect, and will not affect the gynecological endocrine state, it is worthy of clinical widely used.