首页> 中文期刊> 《中国继续医学教育》 >不同子宫切除术式对中青年女性卵巢功能影响的研究

不同子宫切除术式对中青年女性卵巢功能影响的研究

         

摘要

Objective To study the inlfuence of different hysterectomy in young and middle-aged women ovarian function. Methods A variety of benign uterine lesions in 90 cases of hysterectomy patients according to the statistics theory into the uterus upward with time total hysterectomy (group A), total cut uterus resection group (group B) and total hysterectomy group (group C) from September 2012 to September 2014, three groups of patients were 30 cases. Comparison of three surgical methods on the implementation of results. Results The results show that three methods of surgical operation time, intraoperative blood loss, and postoperative complication rates did not have no obvious difference, the data is not in conformity with the statistical difference (P>0.05). At the same time, also found that A group of patients with postoperative estradiol levels and no signiifcant difference, patients in group B and group C estradiol levels significantly decreased after the surgery, the data in line with the statistical difference (P<0.05). The other group A lower incidence of hand surgery in patients with climacteric, group B and group C patients data accord with statistical difference (P<0.05), sexual life quality is higher than that of group B patients, data accord with statistical difference (P<0.05). Conclusion The experimental comparison, found that three kinds of hysterectomy, retaining uterine artery ascending branch artery ascending branch of the ovarian function of patients with total hysterectomy for minimum, this kind of surgery complications occurred probability signiifcantly lower.%目的:研究探讨不同子宫切除术对中青年女性卵巢功能的影响。方法将我院2012年9月~2014年9月收治的多种良性子宫病变实行子宫切除术的患者90例按照统计学原理分成保留子宫上行支次全子宫切除术(A组)、次全子宫切除术组(B组)与全子宫切除术组(C组),三组患者均为30例。比较三种手术方法实施的效果。结果手术结果表明,三种手术方法手术操作时间、术中出血量与术后并发症发生率并无明显差距,无统计学意义(P>0.05);与此同时还发现,A组患者术后雌二醇水平并无明显差距,B组与C组患者在手术后雌二醇水平明显下降,差异有统计学意义(P<0.05)。另外A组患者术手更年期发生率低于B组与C组患者,差异有统计学意义(P<0.05),性生活质量高于B组患者,差异有统计学意义(P<0.05)。结论实验比较发现,三种子宫切除术中,保留子宫动脉上行支动脉次全子宫切除术对患者卵巢功能影响最小,该种手术并发症发生率较低。

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