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目的 探讨改良式子宫全切术后生殖内分泌功能变化。方法 对 60例子宫肌瘤需全子宫切除者进行改良式子宫全切术 (研究组 ) ,选择同期行传统子宫全切术 60例为对照组 ,观察两组患者术前、术后半年及术后 1年血清生殖激素水平变化。结果 研究组术后半年及术后 1年 ,血清FSH、E2 与术前比较 ,差异均无显著性 ;对照组术后半年及术后 1年 ,血清FSH、LH水平升高 ,E2水平下降 ,与术前比较 ,差异有显著性 ;与研究组比较差异也有显著性。结论 改良式子宫全切术较传统子宫全切术更有利于维持保留卵巢的正常功能 ,是治疗子宫良性病变一种好的手术方法
Objective To investigate the changes of reproductive and endocrine function after modified hysterectomy. Methods 60 cases of uterine fibroids hysterectomy required hysterectomy (study group), select the same period of conventional hysterectomy 60 cases as control group, the two groups were observed before surgery, after surgery for six months and surgery Serum reproductive hormone levels after 1 year. Results After six months and one year after operation, the serum levels of FSH and E2 in the study group were not significantly different from those before operation. The levels of serum FSH and LH and the level of E2 decreased in the control group at 6 months and 1 year after operation, Compared with the preoperative, the difference was significant; compared with the study group, the difference was also significant. Conclusions Modified hysterectomy is more advantageous than traditional hysterectomy in maintaining the normal function of ovary and is a good surgical method for treating benign uterine lesions