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目的:对比分析不同手术方法治疗子宫肌瘤对患者卵巢功能以及性功能的影响。方法:随机选取我院58例子宫肌瘤患者将其分为对照组(n=29)与实验组(n=29),对照组实施全子宫切除术,实验组实施次全子宫切除术,比较两组手术前后卵巢功能及性功能变化情况。结果:术后随访1年,实验组患者雌二醇、促卵泡激素水平均明显优于对照组(p<0.05);实验组Olson性生活评分为(51.37±3.01)分,显著高于对照组(41.16±1.39)分,差异有统计学意义(p<0.05)。结论:与全子宫切除术相比,次全子宫切除术对子宫肌瘤术后患者卵巢功能及性功能的影响更小,因此,在选择手术治疗方案时可优先考虑。
OBJECTIVE: To compare the effects of different surgical methods on the treatment of uterine fibroids on patients with ovarian function and sexual function. Methods: Fifty-eight patients with uterine fibroids in our hospital were randomly divided into control group (n = 29) and experimental group (n = 29). The control group received total hysterectomy and the experimental group received subtotal hysterectomy. Ovarian function and sexual function changes before and after operation in both groups. Results: After one year of follow-up, the levels of estradiol and follicle stimulating hormone in the experimental group were significantly better than those in the control group (p <0.05). The Olson sex life score in the experimental group was (51.37 ± 3.01) points, significantly higher than that in the control group (41.16 ± 1.39) points, the difference was statistically significant (p <0.05). CONCLUSIONS: Compared with total hysterectomy, subtotal hysterectomy has less effect on ovarian function and sexual function in patients with uterine fibroids. Therefore, it is preferable to choose surgical treatment.