保留子宫血管部分子宫切除术与次全子宫切除术疗效比较

摘要

Objective To explore clinical value of retaining uterine blood vessels in the treatment of dysfunctional uterine bleeding and multiple uterine fibroid.Methods A total of 34 patients, who received partial hysterectomy retaining ascending uterine artery, were taken as observation group. Another 97 patients, who underwent subtotal hysterectomy at the same period, were chosen as control group. Curative effects of the two groups were observed.Results There were no statistically significant differences of operation time, bleeding volume, intestinal function recover time, and recurrence rate between the two groups (P>0.05). The differences of estradiol (E2), progesterone (P), follicle-stimulating hormone (FSH), and luteinizing hormone (LH) levels in the control group before and after treatment had statistical significance (P<0.05), while those in the observation group were not statistically significant (P>0.05). The difference of climacteric symptoms between the two groups had statistical significance (P<0.01).Conclusion Partial hysterectomy retaining ascending uterine artery is better than traditional subtotal hysterectomy, and it is worth clinical promotion.%目的：探讨保留子宫血管治疗功能失调性子宫出血(功血)及多发性子宫肌瘤的临床价值。方法行保留子宫动脉上行支的子宫部分切除术患者34例为观察组，同期行次全子宫切除术患者97例为对照组。观察两组疗效。结果两组手术时间、出血量、肠功能恢复时间、复发率比较，差异均无统计学意义(P>0.05)。手术前后比较，对照组雌二醇(E2)、孕酮(P)、卵泡刺激素(FSH)、黄体生成素(LH)水平差异有统计学意义(P<0.05)，观察组差异无统计学意义(P>0.05)。两组更年期症状差异有统计学意义(P<0.01)。结论保留子宫动脉上行支的子宫部分切除术优于传统次全子宫切除术，值得临床推广。