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子宫全切术对卵巢功能影响的临床研究 被引量:7

Clinical Study of the Impact of Hysterectomy on Ovarian Function
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摘要 目的:通过子宫肌瘤剔除与子宫全切术治疗子宫肌瘤患者的临床对比研究,探讨子宫全切术对患者卵巢功能的影响。方法:2011年1月-2013年1月在本院住院的90例子宫肌瘤患者按就诊顺序分成子宫肌瘤剔除组和子宫全切组,监测患者术前、术后6个月、12个月雌二醇(E2)、促卵泡激素(FSH)、黄体生成素(LH)水平,观察卵巢功能。结果:两组患者术前性激素(E2、FSH、LH)比较差异无统计学意义(t=0.17、0.65、1.04,P>0.05),而术后6个月,两组性激素比较差异有统计学意义(t=6.14、4.15、3.71,P<0.05)。术后12个月,两组性激素比较差异有统计学意义(t=5.12、3.89、4.65,P<0.05)。术后6个月子宫肌瘤剔除组月经不规律(月经量少、稀发或周期延长)均明显少于子宫全切组,差异有统计学意义(字2=1.43,P<0.05)。术后12个月子宫肌瘤剔除组月经不规律明显少于子宫全切组,差异有统计学意义(字2=5.29,P<0.05)。结论:行子宫肌瘤剔除术治疗子宫肌瘤,卵巢内分泌功能稳定,而子宫全切术直接影响卵巢功能。 Objective: To explore the impact of hysterectomy on ovarian function in patients by comparative study on the treatment of hysterectomy and uterine fibroids removed surgery on patients with uterine fibroids.Mcthod: Ninty patients with uterine fibroids were randomly divided into the myomectomy group and the hysterectomy group according to treatment sequence from January 2011 to January 2013.Estradiol ( E2 ), follicle-stimulating hormone ( FSH ) and luteinizing hormone ( LH ) levels of patients before and 6 months, 12 months after treatment were monitored, and the ovarian function were observed.Result: The sex hormones ( E2, FSH, LH ) of patients before surgery of the two groups had no significant difference ( t=0.17, 0.65, 1.04, P〉0.05 ) .Six months after surgery, the difference of the two groups were statistically significant ( t=6.14, 4.15, 3.71, P〈0.05 ) .After 12 months, the difference of the two groups were statistically significant ( t=5.12, 3.89, 4.65, P〈0.05 ) .Six months later, irregular menstruation ( menstruation, thin hair or extend the cycle ) of the myomectomy group was significantly less than that of the hysterectomy group, the difference was statistically significant (X2=1.43, P〈0.05 ) .Irregular menstruation of the myomectomy group was significantly less than that of the hysterectomy group 12 monthslater, the difference was statistically significant (X2=5.29, P〈0.05).Conclusion: Myomectomy in treatment ofuterinefibroids, ovarian endocrine function is stability, but hysterectomy direct impact on ovarian function.
作者 刘慧
出处 《中国医学创新》 CAS 2013年第28期34-36,共3页 Medical Innovation of China
关键词 子宫肌瘤 子宫全切术 子宫肌瘤剔除术 卵巢功能 Uterine fibroids A hysterectomy Myomectomy Ovarian function
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