全子宫与次全子宫切除术治疗子宫肌瘤对女性卵巢功能的影响观察

Effect of Total Uterus and Subtotal Hysterectomy on Uterine Fibroids in Female Ovarian Function

目的:分析全子宫与次全子宫切除术治疗子宫肌瘤对女性卵巢功能的效果差异。方法:选取2014年1月-2015年12月笔者所在医院收治的子宫肌瘤患者72例,按照随机信封法将其分为试验组(36例)、对照组(36例),给予对照组患者全子宫治疗,给予试验组患者次全子宫切除术治疗,观察两组患者的手术时间、术中出血量、排气时间、住院时间、卵巢功能指标(黄体生成素、促卵泡激素)、血清E2水平、血清FSH水平。结果:两组手术时间、术中出血量、排气时间、住院时间对比显示,试验组均优于对照组(P<0.05)。两组卵巢功能指标对比显示试验组高于对照组(P<0.05);试验组血清E2水平高于对照组,血清FSH水平低于对照组(P<0.05)。结论:全子宫与次全子宫切除术治疗子宫肌瘤对女性卵巢功能都有一定的影响,但次全子宫具有一定的优越性,术中出血量较少,值得临床推广和应用。

Objective:To analyze the effect of total uterus and subtotal hysterectomy on ovarian function in women with uterine fibroids.Method:From January 2014 to December 2015,72 patients with uterine fibroids admitted to the hospital were divided into the experimental group(36 cases)and the control group(36 cases)according to the random envelope method.The patients in the control group were treated with uterine hysterectomy treatment,the patients in the experimental group were treated with hysterectomy.The operation time,intraoperative blood loss,exhaust time,hospitalization time,ovarian function index(luteinizing hormone,follicle stimulating hormone),serum E2 level,serum FSH levels were compared.Result:The comparison of operation time,intraoperative blood loss,exhaust time and hospitalization time showed that the experimental group was superior to the control group(P<0.05).The comparison of ovarian function indexes showed that the experimental group was higher than the control group(P<0.05).The serum E2 level of the experimental group was higher than that of the control group,and the serum FSH level was lower than that of the control group(P<0.05).Conclusion:Total uterus and subtotal hysterectomy for uterine fibroids have certain effects on female ovarian function,but the secondary uterus has certain superiority,and the amount of intraoperative blood loss is small,which is worthy of clinical promotion and application.