中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
2期
263-265
,共3页
腹腔镜%子宫切除术%中青年女性%卵巢功能
腹腔鏡%子宮切除術%中青年女性%卵巢功能
복강경%자궁절제술%중청년녀성%란소공능
laparoscopy%hysterectomy%young and middle-aged women%ovarian function
目的：探讨腹腔镜下与开腹全子宫切除术对中青年女性卵巢功能的影响。方法选择60例未绝经的子宫良性疾病并需行子宫切除术的中青年患者，随机分为腹腔镜组和开腹组，每组各30例，比较两组患者围手术期指标、性激素水平及围绝经期综合征情况。结果腹腔镜组术中出血量、术后肛门排气时间均显著少于开腹组，差异有统计学意义（ t值分别为4．27和3．11，P＜0．05）；术后6个月，两组患者卵泡刺激素（FSH）、黄体生成素（LH）、雌二醇（E2）、孕酮（P）水平相比，差异均无统计学意义（t值分别为0．69、0．95、0．67、-0．33，均P＞0．05）；术后12个月两组患者FSH、LH、E2、P水平差异也均无统计学意义（t值分别为0．88、-0．21、1．65、0．20，均P＞0．05）；两组患者术后围绝经期综合征发生率比较差异无统计学意义（χ2＝0．10，P＞0．05）。结论腹腔镜子宫切除术具有对机体创伤小、术后恢复快的优点，与传统子宫切除术相比不会增加对卵巢功能的损伤。
目的：探討腹腔鏡下與開腹全子宮切除術對中青年女性卵巢功能的影響。方法選擇60例未絕經的子宮良性疾病併需行子宮切除術的中青年患者，隨機分為腹腔鏡組和開腹組，每組各30例，比較兩組患者圍手術期指標、性激素水平及圍絕經期綜閤徵情況。結果腹腔鏡組術中齣血量、術後肛門排氣時間均顯著少于開腹組，差異有統計學意義（ t值分彆為4．27和3．11，P＜0．05）；術後6箇月，兩組患者卵泡刺激素（FSH）、黃體生成素（LH）、雌二醇（E2）、孕酮（P）水平相比，差異均無統計學意義（t值分彆為0．69、0．95、0．67、-0．33，均P＞0．05）；術後12箇月兩組患者FSH、LH、E2、P水平差異也均無統計學意義（t值分彆為0．88、-0．21、1．65、0．20，均P＞0．05）；兩組患者術後圍絕經期綜閤徵髮生率比較差異無統計學意義（χ2＝0．10，P＞0．05）。結論腹腔鏡子宮切除術具有對機體創傷小、術後恢複快的優點，與傳統子宮切除術相比不會增加對卵巢功能的損傷。
목적：탐토복강경하여개복전자궁절제술대중청년녀성란소공능적영향。방법선택60례미절경적자궁량성질병병수행자궁절제술적중청년환자，수궤분위복강경조화개복조，매조각30례，비교량조환자위수술기지표、성격소수평급위절경기종합정정황。결과복강경조술중출혈량、술후항문배기시간균현저소우개복조，차이유통계학의의（ t치분별위4．27화3．11，P＜0．05）；술후6개월，량조환자란포자격소（FSH）、황체생성소（LH）、자이순（E2）、잉동（P）수평상비，차이균무통계학의의（t치분별위0．69、0．95、0．67、-0．33，균P＞0．05）；술후12개월량조환자FSH、LH、E2、P수평차이야균무통계학의의（t치분별위0．88、-0．21、1．65、0．20，균P＞0．05）；량조환자술후위절경기종합정발생솔비교차이무통계학의의（χ2＝0．10，P＞0．05）。결론복강경자궁절제술구유대궤체창상소、술후회복쾌적우점，여전통자궁절제술상비불회증가대란소공능적손상。
Objective To investigate the effect of laparoscopic hysterectomy ( LH) and abdominal hysterectomy ( AH) on ovarian function of young and middle-aged women.Methods Totally 60 young and middle-aged premenopausal patients with benign uterine disease were going to undergo hysterectomy .They were randomly divided into LH group and AH group with 30 cases in each .The perioperative indexes , sexual hormone level and perimenopausal syndrome were compared between two groups .Results The blood loss and postoperative flatus in LH group were significantly less than AH group , and the differences were significant (t value was 4.27 and 3.11, respectively, both P<0.05).The serum levels of FSH, LH, E2 and P were not significantly different between two groups in 6 months after surgery (t value was 0.69, 0.95, 0.67 and -0.33, respectively, all P>0.05).There were not significant differences in the serum levels of FSH , LH, E2 and P in 12 months after surgery ( t value was 0.88, -0.21, 1.65 and 0.20, respectively, all P >0.05 ).The incidence of perimenopausal syndrome was not significantly different between two groups (χ2 =0.10,P>0.05).Conclusion With the advantages of mild trauma and rapid recovery , laparoscopic hysterectomy does not increase the damage to ovarian function .
