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目的观察分析不同子宫切除术对卵巢功能的影响,总结其临床应用价值。方法选取我院2009年5月至2011年5月由于子宫肌瘤需要行子宫切除术的患者82例,按照其手术方式分为A组28例,采取开腹全子宫切除术治疗;B组31例,采取阴式全子宫切除术治疗;C组23例,采取腹腔镜鞘内子宫切除术,观察比较三组治疗前后的性激素水平变化。结果三组患者手术后的激素水平比较无显著性差异(P>0.05),无统计学意义。B、C组的心理影响率与A组比较有明显差异(P<0.05),具有统计学意义。结论子宫切除术对卵巢功能影响不大,尤其是腹腔镜切除和阴式切除,对女性的心理影响较低,有效减少复发,微创,安全可靠,值得在临床上合理推广应用。
Objective To observe and analyze the effect of different hysterectomy on ovarian function and to summarize its clinical value. Methods From May 2009 to May 2011, 82 patients with uterine fibroids who underwent hysterectomy were divided into group A (n = 28) and open hysterectomy (group B). Cases, to take the vaginal hysterectomy; C group of 23 cases, to take laparoscopic intrathecal hysterectomy, observed and compared three groups before and after treatment of sex hormone levels. Results There was no significant difference in the hormone levels after operation between the three groups (P> 0.05). There was no statistical significance. B, C group psychological impact rate compared with the A group were significantly different (P <0.05), with statistical significance. Conclusions Hysterectomy has little effect on ovarian function, especially laparoscopic resection and vaginal resection, which has a low psychological impact on women and effectively reduces recurrence, minimally invasive and safe, which is worthy to be popularized clinically.