经腹次全子宫切除术对子宫肌瘤患者卵巢功能及并发症的影响

Influence of Transabdominal Subtotal Hysterectomy on Ovarian Function and Complications in Patients with Hysteromyoma

目的探讨经腹次全子宫切除术对子宫肌瘤患者卵巢功能及并发症的影响。方法选择2017年8月至2019年7月我院收治的子宫肌瘤患者64例,随机分为对照组(n=32)和观察组(n=32)。对照组采用经腹全子宫切除术,观察组采用经腹次全子宫切除术。对比两组的卵巢功能、生活质量及并发症情况。结果术后1个月,观察组的E2、AFC水平高于对照组,FSH、LH水平低于对照组(P均<0.05)。术后1个月,观察组的QOL评分高于对照组(P<0.05)。两组的并发症发生率(12.50%vs.18.75%)比较差异无统计学意义(P>0.05)。结论与经腹全子宫切除术相比,经腹次全子宫切除术对子宫肌瘤患者卵巢功能的影响较小,患者的生活质量较高,安全有效,值得临床推广。

Objective To explore the influence of transabdominal subtotal hysterectomy on ovarian function and complications in patients with hysteromyoma.Methods 64 cases of patients with hysteromyoma admitted to our hospital from August 2017 to July 2019 were selected and randomly divided into control group(n=32)and observation group(n=32).The control group received transabdominal hysterectomy,and the observation group received transabdominal subtotal hysterectomy.The ovarian function,quality of life and complications were compared between the two groups.Results 1 month after operation,the E2 and AFC levels of the observation group were higher than those of the control group,and the FSH and LH levels were lower than those of the control group(all P<0.05).1 month after operation,the QOL score of the observation group was higher than that of the control group(P<0.05).No statistical difference was found in the incidence of complications(12.50%vs.18.75%)between the two groups(P>0.05).Conclusions Compared with transabdominal hysterectomy,transabdominal subtotal hysterectomy has less influence on ovarian function of patients with hysteromyoma,with higher quality of life,which is safe and effective,and is worthy of clinical promotion.