传统与改良式子宫切除术对子宫肌瘤患者卵巢功能的影响.docVIP

传统与改良式子宫切除术对子宫肌瘤患者卵巢功能的影响 　　[摘要] 目的 探讨传统与改良式子宫切除术对子宫肌瘤患者卵巢功能的影响。 方法 选择2012年1月～2013年1月在本院接受治疗的100例子宫肌瘤患者为研究对象，应用随机数字表法分为实验组和对照组，各50例，实验组用改良式子宫切除术治疗，对照组用传统式子宫切除术，比较两组患者的临床疗效。 结果 两组的手术时间、术中出血量、肛门排气时间、住院时间比较，差异有统计学意义（P0.05）；两组术后激素水平比较，差异有统计学意义（P0.05）。 结论 改良式子宫切除术对子宫肌瘤患者卵巢功能影响较小，优于传统式子宫切除术。 　　[关键词] 传统式子宫切除术；改良式子宫切除术；子宫肌瘤；卵巢功能 　　[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-4721（2013）07（a）-0020-02 　　The influence of ovarian function in hysteromyoma patients by traditional hysterectomy and modified hysterectomy 　　LI Xiao-qin 　　Department of Gynecology， the First Peoples Hospital of Xiangtan City of Hunan Province， Xiangtan 411101， China 　　[Abstract] Objective To investigate the influence of ovarian function in hysteromyoma patients by traditional hysterectomy and modified hysterectomy. Methods One hundred hysteromyoma patients who were treated at our hospital from January 2012 and January 2013 were chosen as research objects. They were divided into the experimental group（50 cases）and the control group（50 cases） by random number table， the patients in the control group were given traditional hysterectomy， the patients in experimental group were given modified hysterectomy， the clinical efficacy of two groups were evaluated. Results The operation time， intraoperative blood loss， length of hospital stay and anal exhaust time of two groups compared， the difference was statistical significant （P0.05）， hormone levels in experimental group were significantly different from the control group （P0.05）. Conclusion The modified hysterectomy can obtain satisfactory curative effect for patients with hysteromyoma， it is superior to traditional hysterectomy. 　　[Key words] Traditional hysterectomy； Modified hysterectomy； Hysteromyoma； Ovarian function 　　近年来，子宫肌瘤的发病率呈明显的上升趋势，有70%～80%的患者发病于30～50岁[1]。子宫肌瘤治疗以手术为主，子宫切除术是最有效最常用的的方法之一。本院对传统的子宫切除术进行了改良，并在2012年1月～2013年1月进行临床实践，报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选择2012年1月～2013年1月在本院接受治疗的100例子宫肌瘤患者，年龄35～65岁，平均（46.2±5.6）岁，均已婚育，已绝经者25例，所有患者均实行子宫切除治