子宫肌瘤患者运用子宫全切术与子宫肌瘤剔除术治疗对子宫卵巢功能及性功能作用研究

Study on the Effect of Hysterectomy and Myomectomy on Uterine and Ovarian Function and Sexual Function in Patients with Uterine Fibroids

目的研究子宫肌瘤剔除术、子宫全切术治疗子宫肌瘤对患者子宫卵巢功能与性功能的影响。方法选取2019年5月-2020年5月在该院接受子宫肌瘤治疗的80例患者,按照抽签法均分样本为剔除术组和全切术组,每组40例。全切术组选择子宫全切术进行治疗,剔除术组选择子宫肌瘤剔除术进行治疗,对比两组手术指标、卵巢功能指标、性功能指标以及临床疗效。结果剔除术组术中失血量、手术时间、排气时间以及住院时间均少于全切术组,差异有统计学意义(P<0.05);剔除术组E2、FSH、LH等卵巢指标水平均好于全切术组,差异有统计学意义(P<0.05);剔除术组性欲、性心理、性唤起、性高潮以及性行为异常等指标评分均高于全切术组,差异有统计学意义(P<0.05);剔除术组临床治疗总有效率(95.00%)显著高于全切术组(72.50%),差异有统计学意义(χ^(2)=7.439,P<0.05)。结论子宫肌瘤剔除术治疗子宫肌瘤可以有效改善手术指标,加速患者机体康复,降低对卵巢功能和性功能的影响,缩短患者的住院时间,降低治疗费用。

Objective To study the effects of uterine fibroids removal and total hysterectomy to treat uterine fibroids on uterine and ovarian function and sexual function.Methods A total of 80 patients who were treated for uterine fibroids in this hospital from May 2019 to May 2020 were selected.According to the lottery method,the samples were divided equally into the elimination group and the total resection group,with 40 cases in each group.The total resection group chose total hysterectomy for treatment,and the removal group chose hysterectomy for treatment.The surgical indexes,ovarian function indexes,sexual function indexes and clinical efficacy were compared between the two groups.Results The intraoperative blood loss,operation time,exhaust time and hospital stay in the elimination group were less than those in the total resection group,the difference was statistically significant(P<0.05);the elimination group E2,FSH,LH and other ovarian indicators levels was better than the total resection group,and the difference was statistically significant(P<0.05);the index scores of libido,sexual psychology,sexual arousal,orgasm,and abnormal sexual behavior in the elimination group were higher than the total resection group,and the difference was statistically significant(P<0.05);the total effective rate of clinical treatment in the elimination group(95.00%)was significantly higher than that in the total resection group(72.50%),and the difference was statistically significant(χ^(2)=7.439,P<0.05).Conclusion Hysteromyomectomy for the treatment of uterine fibroids can effectively improve surgical indicators,accelerate the recovery of patients,reduce the impact on ovarian function and sexual function,shorten the patient’s hospital stay,and reduce treatment costs.