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目的 :分析三种子宫切除术对卵巢卵巢功能及女性心理的影响。方法 :将 70例因子宫肌瘤需做手术的患者分为三组 ,即开腹全子宫切除术 (腹式组 ) 30例 ,其中 2 0例为全子宫切除术 ,10例为全子宫 +双输卵管切除术 ;阴式全子宫切除术 (阴式组 ) 2 0例 ;腹腔镜鞘内子宫切除术组 (腹腔镜组 ) 2 0例。三组病人分别于术后 2d ,术后 1周 ,1个月 ,3个月抽血 ,查性激素PRL ,FSH ,LH ,E2和T值 ,并于术后 3个月用统一问卷进行随访 ,调查性生活及心理情况。结果 :三种术式在手术不同时期的性激素水平比较 ,P >0 .5 ,差别无显著性意义。三种术式对心理及性生活恢复的影响比较 ,P <0 .0 0 0 5 ,差别有显著性意义。结论 :子宫切除术对卵巢功能影响不大 ,而对女性心理影响较大 ,尤腹式组。
Objective: To analyze the effect of three kinds of hysterectomy on ovarian function and female psychology. Methods: Seventy patients with uterine fibroids undergoing surgery were divided into three groups: 30 cases underwent open hysterectomy (abdominal group), of which 20 cases were hysterectomy and 10 cases were all uterine + Double salpingectomy; vaginal hysterectomy (vaginal group) 20 cases; laparoscopic intrathecal hysterectomy group (laparoscopic group) 20 cases. Three groups of patients were drawn blood 2h, 1 week, 1 month and 3 months after operation respectively to investigate the levels of PRL, FSH, LH, E2 and T of sex hormones. The patients were followed up at 3 months after operation by the unified questionnaire, Investigate sexual life and psychological conditions. Results: There was no significant difference in sex hormones between the three surgical procedures at different stages of operation (P> 0.05). Three kinds of surgery on the psychological and sexual life recovery compared, P <0. 0 0 5, the difference was significant. Conclusion: Hysterectomy has little effect on ovarian function, but has a greater psychological impact on women, especially the abdominal group.