北华大学学报（自然科学版）
北華大學學報（自然科學版）
북화대학학보（자연과학판）
Journal of Beihua University(Natural Science)
2015年
5期
631-634
,共4页
血清性激素水平%次全子宫切除术%围绝经期症状
血清性激素水平%次全子宮切除術%圍絕經期癥狀
혈청성격소수평%차전자궁절제술%위절경기증상
Serum sex hormone levels%subtotal hysterectomy%perimenopausal symptoms
目的 探讨保留子宫血管供应的子宫切除术对卵巢内分泌功能及围绝经期症状的影响.方法 将子宫良性病变需行子宫切除术的100例患者按门诊编号随机分为保留子宫血管的STHMUV组(研究组,n=50)及传统次全子宫切除SROU术组(对照组,n=50),比较两组手术时间、术中出血、术后发热及残端息肉情况,同时分别于术前、术后3个月,6个月,1 a,2 a抽血化验检查血清中性激素水平变化,并进行围绝经期症状观察.结果 两组手术时间、术中出血量、术后发热及残端息肉比较无统计学意义(P>0. 05).研究组手术前后血清性激素变化比较差异无统计学意义(P>0. 05),围绝经期症状几乎不出现;对照组术后FSH,LH明显升高(P<0. 05),E2 降低(P<0. 05),围绝经期症状出现较多.结论 STHMUV术组在卵巢激素分泌方面的影响不如传统SROU术组明显,该术式对保留卵巢功能、延缓卵巢早衰的出现具有一定的临床意义.
目的 探討保留子宮血管供應的子宮切除術對卵巢內分泌功能及圍絕經期癥狀的影響.方法 將子宮良性病變需行子宮切除術的100例患者按門診編號隨機分為保留子宮血管的STHMUV組(研究組,n=50)及傳統次全子宮切除SROU術組(對照組,n=50),比較兩組手術時間、術中齣血、術後髮熱及殘耑息肉情況,同時分彆于術前、術後3箇月,6箇月,1 a,2 a抽血化驗檢查血清中性激素水平變化,併進行圍絕經期癥狀觀察.結果 兩組手術時間、術中齣血量、術後髮熱及殘耑息肉比較無統計學意義(P>0. 05).研究組手術前後血清性激素變化比較差異無統計學意義(P>0. 05),圍絕經期癥狀幾乎不齣現;對照組術後FSH,LH明顯升高(P<0. 05),E2 降低(P<0. 05),圍絕經期癥狀齣現較多.結論 STHMUV術組在卵巢激素分泌方麵的影響不如傳統SROU術組明顯,該術式對保留卵巢功能、延緩卵巢早衰的齣現具有一定的臨床意義.
목적 탐토보류자궁혈관공응적자궁절제술대란소내분비공능급위절경기증상적영향.방법 장자궁량성병변수행자궁절제술적100례환자안문진편호수궤분위보류자궁혈관적STHMUV조(연구조,n=50)급전통차전자궁절제SROU술조(대조조,n=50),비교량조수술시간、술중출혈、술후발열급잔단식육정황,동시분별우술전、술후3개월,6개월,1 a,2 a추혈화험검사혈청중성격소수평변화,병진행위절경기증상관찰.결과 량조수술시간、술중출혈량、술후발열급잔단식육비교무통계학의의(P>0. 05).연구조수술전후혈청성격소변화비교차이무통계학의의(P>0. 05),위절경기증상궤호불출현;대조조술후FSH,LH명현승고(P<0. 05),E2 강저(P<0. 05),위절경기증상출현교다.결론 STHMUV술조재란소격소분비방면적영향불여전통SROU술조명현,해술식대보류란소공능、연완란소조쇠적출현구유일정적림상의의.
Objective To explore the effects of uterine blood supply retained hysterectomy ( STHMUV ) on the endocrine function of ovarian and the symptoms of menopausal transition. Method According to the outpatient number,100 patients with uterine benign lesions needed SROU were randomly divided into the STHMUV group ( research group,n=50 ) and the traditional total hysterectomy group ( the control group, n=50 ) . The operation time,intraoperative bleeding, postoperative fever and residual polyp were compared between the two groups. Simultaneously,the changes of serum sex hormone levels and the perimenopausal symptoms were determined and observed at 3 m,6 m,1 a,2 a before and after the operation. Results There was no significant difference between the two groups in operation time,intraoperative blood loss,postoperative fever and residual polyp (P>0. 05). There was no significant difference in serum sex hormones of the research group before and after the operation (P>0. 05),and the symptoms of the menopausal transition hardly appeared. While in the control group, postoperative FSH,LH increased significantly(P<0. 05),E2 decreased(P<0. 05),and perimenopausal symptoms appeared frequently. Conclusion The effect of STHMUV on ovarian endocrine function was less than the traditional total hysterectomy. This operation has clinical significance for preserve ovarian function and delay the occurrence of premature ovarian failure.
