次全子宫切除术在子宫肌瘤患者中的应用效果

Efficiency of subtotal hysterectomy in treatment of patients with hysteromyoma

  • 摘要:
      目的  探讨次全子宫切除术在子宫肌瘤患者中的应用效果。
      方法  回顾性分析150例子宫肌瘤患者的临床资料。根据手术方法分为2组各75例。对照组采用全子宫切除术治疗, 研究组采用次全子宫切除术治疗。比较2组治疗效果。
      结果  治疗后,研究组卵泡生成激素(FSH)、促黄体生成激素(LH)显著低于对照组,雌二醇(E2)显著高于对照组(P < 0.05)。研究组女性性功能指数调查量表(FSFI)评分显著高于对照组(P < 0.05)。研究组最大逼尿肌压、膀胱顺应性显著高于对照组(P < 0.05)。
      结论  应用次全子宫切除术可减轻对子宫肌瘤患者卵巢功能、性功能及膀胱功能的影响。

     

    Abstract:
      Objective  To investigate the clinical effect of subtotal hysterectomy in treatment of patients with hysteromyoma.
      Methods  Clinical materials of 150 patients with hysteromyoma were retrospectively analyzed. All the patients were divided into two groups according to the surgical method. The control group (n=75) was treated with total hysterectomy, while the study group (n=75) was treated with subtotal hysterectomy. Therapeutic effect was compared between two groups.
      Results  After treatment, follicle-forming hormone (FSH) and luteinizing hormone (LH) in the study group were significantly lower than those in the control group, and estradiol (E2) was significantly higher than that in the control group (P < 0.05). The score of Female Sexual Function Index (FSFI) in the study group was significantly higher than that in the control group (P < 0.05). The maximum detrusor pressure and bladder compliance in the study group were significantly higher than those in the control group (P < 0.05).
      Conclusion  Application of subtotal hysterectomy can reduce the influence on ovarian function, sexual function and bladder function of patients with hysteromyoma.

     

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