摘要
目的研究腹腔镜全子宫切除术和腹腔镜次全子宫切除术对患者卵巢功能及其性功能的影响。方法选择2012年6月至2015年6月在郫县妇幼保健院接受手术治疗的子宫肌瘤患者144例,采用腹腔镜次全子宫切除术72例为观察组,腹腔镜全子宫切除术72例为对照组,比较两组患者术中术后情况,手术前后的卵巢功能,以及不同时期的性功能。结果观察组手术时间、术中出血量、肛门排气时间以及住院时间均少于对照组,差异有统计学意义(P<0.05)。术后3月两组雌二醇(estradiol,E2)水平较术前均明显下降,但观察组高于对照组(P<0.05);两组卵泡刺激素(Follicle-stimulating hormone,FSH)水平较术前均显著上升,但观察组亦高于对照组(P<0.05)。两组术后1月、3月Olson性功能评分均高于术前,但观察组显著高于对照组(P<0.05)。结论腹腔镜次全子宫切除术对子宫肌瘤患者的卵巢功能与性功能的影响较小,安全性较高。
Objective To study effect of total laparoscopic hysterectomy and laparoscopic subtotal hysterectomy on patients＇ ovarian function and sexual function. Methods 144 patients who accepted surgical treatment of uterine fibroids in maternal and child care service centre of Pixian from June 2012 to June 2015 were selected, 72 cases who accepted laparoscopic subtotal hysterectomy were set as observation group, the other 72 cases who accepted total laparoscopic hysterectomy were set as control group,compared operation condition, ovarian function before and after the surgery, sexual function in different periods of two groups. Results The operation time, bleeding volume during operation, anal exhaust time and hospital stay of observation group were significantly less than those of the control group, the differences were statistically significant （ P 〈 0. 05 ）. E2 levels of two groups significantly decreased 3 months after surgery, and the level of observation group was significantly higher than that of the control group（ P 〈 0. 05 ） ; follicle - stimulating hormone （FSH） of two groups significantly increased than preoperative, and the level of observation group was significantly higher than that of the control group too（ P 〈0. 05 ）. The Olson score of two groups 1 month and 3 months after surgery were significantly higher than that preoperative, and the observation group was significantly higher than that in the control group （P 〈 0. 05）. Conclusion Laparoscopic subtotal hysterectomy operation influences less on ovarian function and sexual function in patients with uterine fibroids,has feature of high security, and should be considered preferentially under the premise of patients safety.
出处
《中国计划生育和妇产科》
2016年第5期58-61,共4页
Chinese Journal of Family Planning & Gynecotokology
关键词
腹腔镜全子宫切除术
腹腔镜次全子宫切除术
卵巢功能
性功能
total laparoscopic hysterectomy
laparoscopic subtotal hysterectomy
ovarian function
sexual function
作者简介
毕业于泸州医学院，副主任医师，研究方向为妇科内镜
