顽固性月经过多内膜切除与子宫切除术后疗效比较分析

Comparison of the Effect of Endometrectomy and Hysterectomy of Patients with Refractory Menorrhagia

【目的】研究顽固性月经过多行内膜切除与子宫切除对患者生理及心理影响。【方法】本研究抽选2015年1月至2017年1月时间段内收治的顽固型月经量过多病患(110例)进行手术研究,在患者首肯下将其随机分为内膜切除组和子宫切除组,比较两组患者治疗前后的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分、阴道出血恢复情况以及贫血症状改善情况。【结果】治疗前,两组患者的SAS和SDS评分相比无统计学意义(P>0.05),治疗后,内膜切除组的SAS和SDS评分分别为(45.31±3.58)分和(46.31±3.46)分,均显著低于子宫切除组(P<0.05);内膜切除组的阴道出血恢复优良率为94.55%,显著高于子宫切除组的81.81%(P<0.05);手术前,两组患者的血红蛋白数值相比无统计学意义(P>0.05),手术后1个月、3个月和6个月,内膜切除组患者的血红蛋白水平均显著高于子宫切除组(P<0.05)。【结论】内膜切除术和子宫切除术均可以有效治疗顽固性月经患者,但内膜切除术对患者的生理和心理产生影响相对较小,有利于促进患者的身体健康恢复,宜广泛应用于临床治疗中。

【Objective】To researchthe influence of endometrectomy and hysterectomy on the physiology and mentalityof patients with refractory menorrhagia.【Method】This research selected 110 patients with refractory menorrhagia thataccepted in our hospital from January,2015 to January,2017 as the object of study. Under the consent of patients,theywere randomly divided into the endometrectomy group and hysterectomy group. Then the rate of Self-rating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS）,the recovery condition of colporrhagia and improvement of anemia ofboth groups were compared.【Result】Before treatment,the compare between both group′ s rate of SAS and SDS are notstatistically significant（P〉0.05）,after treatment,the SAS and SDS rate of endometrectomy group are respectively（45.31±3.58）and（46.31±3.46）,which are both significantly lower than the hysterectomy group（P〈0.05）;the endomet-rectomy group has a good rate of 94.55% on the recovery condition of colporrhagia,which is significantly higher than thehysterectomy group′s 81.81%（P〈0.05）;before surgery,the compare of hemoglobin quantity between two group are notstatistically significant（P〉0.05）;within 1,3 and 6 months after surgery,the hemoglobin level of endometrectomy groupare significantly higher than the hysterectomy group（P〈0.05）.【Conclusion】Both endometrectomy and hysterectomy caneffectively treat patients with refractory menorrhagia,but endometrectomy has less influence on patient′ s physiology andmentality,which can facilitate patient′s recovery and could be widely applied on clinical treatment.