子宫肌瘤剔除术、子宫次全切除术对生育期妇女卵巢功能的影响

Effect of myomectomy and subtotal hysterectomy on ovarian function of women in childbearing period

目的对比子宫肌瘤剔除术与子宫次全切除术对生育期妇女卵巢功能的影响。方法将96例子宫肌瘤患者根据手术方式不同分为A组和B组,各48例。A组采用子宫肌瘤剔除术,B组采用子宫次全切除术治疗。比较两组的治疗效果、术后1年复发率及卵巢功能。结果A组术中出血量少于B组,术后肛门排气时间及住院时间短于B组(P<0.05)。术后3个月,A组血清FSH和LH水平低于B组,E2水平高于B组(P<0.05)。A组术后1年复发率高于B组(P<0.05)。结论与子宫次全切除术相比,子宫肌瘤剔除术具有损伤小、术后恢复快、保留子宫、维持患者正常卵巢功能等优势。

Objective To compare the effects of myomectomy and subtotal hysterectomy on ovarian function of women in childbearing period.Methods Ninety-six patients with hysteromyoma were divided into groups A and group B by different operation methods,with 48 cases in each group.The group A was given myomectomy,and the group B was given subtotal hysterectomy.The therapeutic effects,1-year postoperative recurrence rates and ovarian function of both groups were compared.Results The intraoperative hemorrhage in the group A was less than that in the group B,and anal exhaust time and hospitalization time in the group A were shorter than those in the group B(P<0.05).Three months after operation,the levels of serum FSH and LH in the group A were lower than those in the group B,and E2 level was higher than that in the group B(P<0.05).The one year postoperative recurrence rate in the group A was higher than that in the group B(P<0.05).Conclusion Compared with subtotal hysterectomy,myomectomy has the advantages of less damage,faster recovery,uterus preservation and normal ovarian function.