本文選題：子宮肌瘤 + 腹腔鏡子宮肌瘤剔除術(shù)�。� 參考：《中國(guó)內(nèi)鏡雜志》2015年05期

【摘要】：目的探討分析兩種手術(shù)方式治療子宮肌瘤對(duì)患者卵巢功能及性功能的影響。方法選取2012年1月到2014年3月期間在浙江大學(xué)醫(yī)學(xué)院附屬婦產(chǎn)科醫(yī)院進(jìn)行子宮肌瘤剔除手術(shù)的90例患者作為研究對(duì)象,根據(jù)手術(shù)方法進(jìn)行分組,A組45例患者給予腹腔鏡子宮肌瘤剔除術(shù)治療,B組45例患者給予腹腔鏡下子宮動(dòng)脈上行支阻斷術(shù)輔助腹腔鏡子宮肌瘤剔除術(shù)治療。比較兩組患者的術(shù)中出血量、手術(shù)時(shí)間、術(shù)后排氣時(shí)間、住院時(shí)間以及觀察兩組患者血清中卵泡刺激素(FSH)和雌二醇(E2)水平、性功能評(píng)分。結(jié)果 B組患者術(shù)中出血量(82.13±13.46)ml、手術(shù)時(shí)間(59.02±10.18)min明顯優(yōu)于A組患者術(shù)中出血量(123.24±18.84)ml、手術(shù)時(shí)間(70.72±11.63)min,兩組比較差異有顯著性,(P0.05)。術(shù)后3個(gè)月B組患者的血清中卵泡刺激素(FSH)(6.95±1.40)IU/L明顯高于A組的(6.07±1.22)IU/L,而B組的雌二醇(E2)(72.39±5.62)ng/L明顯低于A組的(80.30±5.33)ng/L,差異有顯著性(P0.05)。B組患者術(shù)后3個(gè)月FSH水平比術(shù)前高,E2水平比術(shù)前低,差異有顯著性(P0.05)。A、B兩組患者術(shù)后6個(gè)月的性功能評(píng)分明顯高于術(shù)前,差異有顯著性(P0.05);但兩組患者術(shù)后6個(gè)月性功能評(píng)分無明顯差異,差異無顯著性(P0.05)。結(jié)論子宮肌瘤患者行腹腔鏡下子宮動(dòng)脈上行支阻斷術(shù)輔助子宮肌瘤剔除術(shù)治療的效果明顯,術(shù)中出血少,手術(shù)時(shí)間短,對(duì)患者的卵巢功能的影響只是暫時(shí)的,對(duì)性功能有明顯的改善。
[Abstract]:Objective to investigate the effects of two surgical methods on ovarian function and sexual function in patients with uterine leiomyoma. Methods from January 2012 to March 2014, 90 patients undergoing hysteromyomectomy in the affiliated Obstetrics and Gynecology Hospital of Zhejiang University Medical College were selected as the study subjects. According to the operative method, 45 patients in group A were divided into two groups: group A, 45 patients were treated with laparoscopic myomectomy, group B, 45 patients were treated with laparoscopic uterine artery ascending branch occlusion and laparoscopic hysteromyomectomy. The blood loss, operative time, postoperative exhaust time, hospitalization time, serum FSH and estradiol E2 levels were compared between the two groups. Results in group B, the intraoperative bleeding volume was 82.13 鹵13.46 ml, and the operative time was 59.02 鹵10.18)min, which was significantly better than that in group A (123.24 鹵18.84 ml) and the operative time was 70.72 鹵11.63 min. The difference between the two groups was significant (P 0.05). 3 months after operation, the serum level of FSH in group B was 6.95 鹵1.40)IU/L higher than that in group A (6.07 鹵1.22 渭 mol / L), while the level of estradiol in group B (72.39 鹵5.62)ng/L) was significantly lower than that in group A (80.30 鹵5.33 ng / L). The level of FSH in group B was significantly lower than that in group B 3 months after operation. The scores of sexual function in group A were significantly higher than those in group B at 6 months after operation, but there was no significant difference in score of sexual function between the two groups at 6 months after operation (P 0.05). Conclusion Laparoscopic uterine artery ascending branch occlusion is effective in the treatment of uterine leiomyomectomy with less bleeding and shorter operation time. The effect on ovarian function is only temporary in patients with uterine leiomyoma. It has obvious improvement on sexual function.
【作者單位】： 浙江省安吉縣婦幼保健院婦產(chǎn)科;浙江大學(xué)醫(yī)學(xué)院附屬婦產(chǎn)科醫(yī)院婦科;
【分類號(hào)】：R737.33

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