论文部分内容阅读
目的:探讨腹腔镜下子宫动脉阻断术联合子宫肌瘤剔除术对卵巢功能及生活质量的影响。方法:将106例子宫肌瘤患者按照不同治疗方案分为两组(各53例),对照组行腹腔镜下子宫肌瘤剔除术,研究组行腹腔镜下子宫动脉阻断术联合子宫肌瘤剔除术。观察并比较两组患者术中、术后手术相关指标,手术前后性激素水平及窦状卵泡(AFC)数量变化以及术后生活质量改善情况。结果:研究组手术时间、术后排气时间均比对照组短(P<0.01),且出血量比对照组少(P<0.05);而研究组术后2个月性激素水平及AFC的数量均较术前有明显变化(P<0.05),但术后12个月上述指标回归至正常水平范围。研究组生活质量各维度评分均显著高于对照组(P<0.05)。结论:腹腔镜下子宫动脉阻断术联合子宫肌瘤剔除术对患者卵巢功能的影响是短暂且可逆的,可以有效改善患者生活质量,值得临床推广及应用。
Objective: To investigate the effect of laparoscopic uterine artery occlusion combined with myomectomy on ovarian function and quality of life. Methods: 106 cases of uterine fibroids patients were divided into two groups (53 cases each) according to different treatment regimens. The control group underwent laparoscopic myomectomy. The study group underwent laparoscopic uterine artery occlusion combined with uterine fibroids Excision surgery. Observe and compare the intraoperative and postoperative operative indexes, the levels of sex hormones before and after surgery, the number of AFC and the postoperative quality of life in both groups. Results: The operation time and postoperative exhaust time in the study group were shorter than those in the control group (P <0.01), and the amount of bleeding was less than that in the control group (P <0.05). However, the levels of sex hormones and AFC (P <0.05). However, the above indexes returned to the normal level at 12 months after operation. All dimensions of study group were significantly higher than those of control group (P <0.05). Conclusion: The effect of laparoscopic uterine artery occlusion combined with uterine myomectomy on the ovarian function of patients is transient and reversible, which can effectively improve the quality of life of patients and is worthy of clinical promotion and application.