论文部分内容阅读
目的：探讨子宫切除宫颈去留之利弊，重新评价子宫次全切除术的应用价值。方法：对８１例子宫次全切与６８例子宫全切两组病人术后性功能、膀胱功能、更年期症状、血脂及血流变学情况进行对比，并观察残留宫颈情况。结果：两组术后性功能、膀胱功能均下降，以全切组下降更为明显（Ｐ＜０．０１或０．０５）；两组ＴＧ、ＣＨＯＬ、ＡＰＯＢ、全血粘度及血浆粘度均高于正常对照组，ＡＰＯＡ则均低于对照组（Ｐ均＜０．０１或０．０５）上述各变化及更年期情况两组间相比差异无显著意义。残留宫颈无发现１例下垂、息肉或癌瘤，涂片均为巴氏Ⅰ或Ⅱ级。结论；两种术式对卵巢功能早衰的影响是相同的，但对性生活与膀胱功能下降的影响全切组更为明显。提倡对每例患者都权衡宫颈去留之利弊，以提高手术满意度和术后生活质量。
Objective: To explore the pros and cons of hysterectomy for cervix and reevaluate the value of subtotal hysterectomy. Methods: The postoperative sexual function, bladder function, menopause symptoms, blood lipid and hemorheology in 81 cases of uterine subtotal resection and 68 cases of uterine resection were compared, and the residual cervical condition was observed. Results: The postoperative sexual function and bladder function of both groups were decreased, and the decrease was more significant in the whole-cut group (P <0.01 or 0.05). The TG, CHOL, APOB, whole blood viscosity and plasma viscosity were significantly higher in both groups In the normal control group, APOA was lower than that in the control group (all P <0.01 or 0.05). There was no significant difference between the two groups in these changes and menopause. One case of residual cervix did not find sagging, polyps or cancer, Pap smears were grade Ⅰ or Ⅱ. Conclusion: The two surgical procedures have the same effect on premature ovarian failure, but the effects on the decline of sexual life and bladder function are more obvious in the resection group. Advocacy for each patient to weigh the pros and cons of cervical retention to improve the satisfaction of surgery and postoperative quality of life.